This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Fluid, Electrolyte and Nutrition, Subject name: Surgery
[{'content': 'In a 40-year-old woman receiving TPN for small-bowel fistula, what finding can be attributed to hypophosphatemia? \nSelect and explain. \nA. Increased cardiac output, B. Diarrhea, C. Increased energy production, D. Rhabdomyolysis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Hypophosphatemia results in decreased synthesis of phosphorylated intermediate metabolites such as adenosine triphosphate (ATP), 2, 3-DPG, and cyclic adenosine monophosphate (cAMP). Deficiency can result in erythrocyte membrane instability, WBC dysfunction, platelet dysfunction, congestive hea failure, arrhythmias, weakening of respiration muscles, hemolysis, and rhabdomyolysis.', 'role': 'assistant'}]