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: Surgery
[{'content': 'Which of the following is not a framingham major criteria for the diagnosis of hea failure? \nSelect and explain. \nA. Paroxysmal nocturnal dyspnea, B. Cardiomegaly, C. S3 Gallop, D. Hepatomegaly', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Hepatomegaly Major or minor Weight loss 4.5 kg over 5 days t/t. To establish a clinical diagnosis of congestive hea failure by these criteria at least one major and two minor criteria are required.', 'role': 'assistant'}]