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: Pathology
[{'content': 'The disease process that best accounts for this problem: \nSelect and explain. \nA. Ethylene glycol poisoning, B. Chronic obstructive pulmonary disease, C. Congestive hea failure, D. Vomiting', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Vomiting', 'role': 'assistant'}]