This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Tuberculosis of the Genital Tract, Subject name: Gynaecology & Obstetrics
[{'content': 'Tuberculosis of fallopian tube occurs mainly by - \nSelect and explain. \nA. Direct spread from uterine cavity, B. Lymphatic spread, C. Hematogenous spread, D. Iatrogenic', 'role': 'user'}, {'content': "Answer: C \nExplanation: Ans.is 'c' i.e., Hematogenous spread o Genital tuberculosis# Almost always a secondary infection.# Most common route of spread is hematogenous.# Most common site is bilateral fallopian tubes, (in fallopian tubes most common part affected is ampulla and most common pathology encountered is endosalpingitis).# Most common in 20 - 30 years age group.# Infertility is the most common symptom.", 'role': 'assistant'}]