<prompt> A 9- years old child has steroid dependant nephrotic syndrome for the last 5 years. He has received corticosteroids almost continuously during this period and has Cushingoid features. The blood pressure is 12086 mmHg and there are bilateral subcapsular cataracts. The treatment of choice is:Levamisole.Cyclophosphamide.Cyclosporin A.Intravenous pulse corticosteroids.  <response>: Ans. is b i.e. cyclophosphamide If a child with nephrotic syndrome on steroid develops features of corticosteroid toxicity cushingoid features, hypertension, cataract and growth failure then cyclophosphamide should be used. 