This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: GIT, Subject name: Surgery
[{'content': 'A 40 years old male was brought to the emergency with severe abdominal pain. On examination, pulse rate was 112/minute and systolic BP was 80 mm Hg. Chest X-ray is given below. What is the most appropriate management? \nSelect and explain. \nA. Exploratory laparotomy, B. Intercostal tube drainage, C. Saline wash of stomach, D. IV antibiotics', 'role': 'user'}, {'content': 'Answer: A \nExplanation: X-ray - Gas under right dome of diaphragm - secondary bacterial peritonitis Secondary bacterial peritonitis (SBP) Due to perforation Spillage of intestinal contents Polymicrobial E. coli + Bacteroides Mx: Exploratory laparotomy. + Drain', 'role': 'assistant'}]