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': 'Botulism characterised by  a) Seizure  b) Fever  c) Ascending paralysis  d) Descending symmetrical paralysis  e) Blurring of vision \nSelect and explain. \nA. abc, B. bd, C. cde, D. de', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]