This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical, surgical and gynaecological illness complicating pregnancy, Subject name: Gynaecology & Obstetrics
[{'content': 'The following are related to preeclampsia: \nSelect and explain. \nA. It is a totally preventable disease, B. Systolic rise of blood pressure is more impoant than the diastolic, C. Eclampsia is invariably preceded by acute fulminating preeclampsia, D. Endothelial dysfunction is the basic pathology', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Thr changes occuring during the preeclampsia are thought to be tge consequences of vasospasam,endothelial dysfunction and ischemia. Refer page no 256 of Text book of obstetrics,sheila balakrishnan,2 nd edition.', 'role': 'assistant'}]