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: Medicine
[{'content': 'Microsomal enzyme induction with alcohol, warfarin and phenytoin results in ceain changes in the liver biochemistry. What are the specific changes associated with this effect? \nSelect and explain. \nA. Transient steatohepatitis, B. Granulomatous changes, C. Transient elevation in bilirubin and transaminase, D. Sustained elevation in GGT and ALP', 'role': 'user'}, {'content': "Answer: D \nExplanation: Sustained elevation in GGT ALP is seen with phenytoin, alcohol, warfarin and rifampicin is seen due to induction of hepatic CYP enzymes and this phenomenon is often referred to microsomal enzyme induction. Ref : Schiff's diseases of liver, Edition -11 , Page - 715.", 'role': 'assistant'}]