This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Medicine
[{'content': 'Adverse effects of valproic acid include \nSelect and explain. \nA. Alopecia, B. Fulminant hepatitis, C. Pancreatitis, D. All of the above', 'role': 'user'}, {'content': 'Answer: D \nExplanation: (D) All of the above # Adverse effects of Valproic acid:> Though the toxicity of Valproate is low, it is less well tolerated by Indian patients compared to western data.> Anorexia, vomiting, drowsiness, ataxia and tremor are dose related side effects. However, cognitive and behavioral effects are not prominent.> Alopecia, curling of hair, and increased blood ammonia have been observed.> Rashes and thrombocytopenia are infrequent hypersensitivity phenomena.> Asymptomatic rise in serum transaminase is common; monitoring of liver function is advised.> A rare but serious adverse effect is fulminant hepatitis; occurs only in children (specially below 3 years).> Those with hepatic disease or who receive other anticonvulsant or hepatotoxic drug are at greater risk.> Pancreatitis is also reported.> Used during pregnancy, it has produced neural tube defects in the offspring; should be avoided.', 'role': 'assistant'}]