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: Unknown
[{'content': 'As a nasal decongestant, pseudoephedrine should be used cautiously in patient with any of the following conditions except: \nSelect and explain. \nA. Hypertension, B. Hyperthyroidism, C. Ischemic heart disease, D. Urinary incontinence', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Pseudoephedrine, a mixed direct- and indirect-acting sympathomimetic, may raise blood pressure and car\xaddiac oxygen requirement, potentiate the cardiac effects of thyroid hormone, and increase urinary retention in patients with prostatic hypertrophy. It is not contrain\xaddicated in cases of urinary incontinence, and may actually be useful in select patients with the condition because it contracts the bladder sphincter.', 'role': 'assistant'}]