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': 'Which is not seen in hyperventilation? \nSelect and explain. \nA. Seizures, B. Alkalosis, C. Hypocalcemia and hypophosphatemia, D. Hypocalcemia and hyperphosphatemia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: (D) Hypocalcemia and hyperphosphatemia # Alkalemia associated with hypocapnia may produce neurologic symptoms, including dizziness, visual impairment, syncope, and seizure activity (secondary to cerebral vasoconstriction); paresthesia, carpopedal spasm, and tetany (secondary to decreased free serum calcium); and muscle weakness (secondary to hypophosphatemia); and may be associated with panic attacks.> Severe alkalemia can also induce cardiac arrhythmias and evidence of myocardial ischemia.> Patients with a primary respiratory alkalosis are also prone to periodic breathing and central sleep apnea.', 'role': 'assistant'}]