This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical Illness Complicating Pregnancy, Subject name: Gynaecology & Obstetrics
[{'content': 'A patient at 34 weeks pregnancy presents with acute liver failure with coagulopathy and IUFD. BP is normal , viral markers are negative. Most probable diagnosis is? \nSelect and explain. \nA. IHCP, B. Viral hepatitis, C. Acute fatty liver of pregnancy, D. Obstructive jaundice', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Acute fatty liver of pregnancy Presents late in pregnancy Presentation: persistent nausea/ vomiting, malaise, progressive jaundice, liver failure, may be associated with pre eclampsia Complications: coagulopathy, renal failure, death, fetal distress, IUD Management: resuscitation, blood and blood products( coagulopathy), Termination of pregnancy to be done irrespective of gestation', 'role': 'assistant'}]