This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Psychiatry
[{'content': 'In delirium tremens all of the following statements are TRUE, EXCEPT: \nSelect and explain. \nA. Gross tremor, B. Seen in alcoholic withdrawal, C. Fits may occur, D. Clear orientation', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Delirium tremens is the most serious alcohol withdrawal syndrome which begins 3 to 5 days after cessation of drinking and lasts for up to 72 hours. Patients are usually confused and agitated. Other characteristic features includes fever, sweating, tachycardia, hypeension, and hallucinations. Death can result from concomitant infection, pancreatitis, cardiovascular collapse, or trauma. Treatment involves administration of diazepam or lorazepam for tremors and hallucinations, correction of fluid and electrolyte abnormalities, and hypoglycemia. Beta blocker is administered for patients with tachycardia and hypeension. Ref: Greenberg D.A., Aminoff M.J., Simon R.P. (2012). Chapter 4. Confusional States. In D.A. Greenberg, M.J. Aminoff, R.P. Simon (Eds), Clinical Neurology, 8e.', 'role': 'assistant'}]