This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hepatic encephalopathy & hepatic failure, Subject name: Medicine
[{'content': 'Hepatic encephalopathy is aggravated by all except? \nSelect and explain. \nA. Hyperkalemia, B. Anemia, C. Hypothyroidism, D. Barbiturates', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Hypokalemia is seen with overzealous use of diuretics and this will lead to dehydration and increased hepatic encephalopathy. Anemia associated with Gl bleeding worsens hepatic encephalopathy Constipation in hypothyroidism will worsen hepatic encephalopathy by increasing bacterial load. Drugs like barbiturates and antipsychotics worsen hepatic encephalopathy', 'role': 'assistant'}]