This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
[{'content': 'Peptic ulcer is associated with all except one: \nSelect and explain. \nA. Cirrhosis, B. Zollinger Ellison syndrome, C. Primary hyperparathyroidism, D. Pernicious anemia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Specific Chronic Disorders Associated with PUD With strong associations With possible associations Systemic mastocytosis Chronic pulmonary diseases Chronic renal failure Cirrhosis Nephrolithiasis Alpha-1-antitrypsin deficiency Hyperparathyroidism Coronary aery disease Polycythemia Vera Chronic Pancreatitis Ref: Sabiston 20th edition PGno: 1918', 'role': 'assistant'}]