Which of the following is not true about a low serum albumin level?
  1. It may be associated with ascites.
  2. It may be an indicator of kwashiorkor.
  3. It may be used to diagnosis esophageal reflux.
  4. It is commonly seen in nephrotic syndrome.
Explanation
Answer: C - A low serum albumin level is not seen in esophageal reflux. Low serum albumin levels often accompany ascites in liver disease, may be an indicator of the protein-calorie malnutrition of kwashiorkor, and are commonly seen in nephritic syndrome, in which large amounts of protein are lost in the urine.
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