This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Congenital heart disease is most likely in the newborn of mothers suffering from all except: \nSelect and explain. \nA. Systemic lupus erythematosus, B. Rheumatoid arthritis, C. Diabetes in pregnancy,, D. Congenital heart disease of the mother', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Lets analyse each option separately\n“Fetal congenital cardiac disease is increased by 3–10% if either of the parents have congenital heart lessons.”\nDutta 7/e, p 276. (so option d is correct)\n“Neonatal lupus syndrome is due to crossing of maternal lupus antibodies (anti-Ro or anti-La) to the fetus causing hemolytic anemia, leukopenia and thrombocytopenia. Isolated congenital heart block is present in about one-third of cases. An apparently healthy woman delivering a baby with congenital heart block should be observed for the development of SLE.”\nDutta 7/e, p 293 (i.e. option a is correct)\nMatenal diabetes we all know leads to fetal heart disease (Dutta 7/e, p 284), so our answer by exclusion is rheumatoid arthritis.', 'role': 'assistant'}]