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': "Boerhove's syndrome, true about \nSelect and explain. \nA. Iatrogenic, B. Silent manifestation, C. Presented with acute chest pain, D. Treatment is conservative", 'role': 'user'}, {'content': 'Answer: C \nExplanation: Occurs classically when a person vomits against a closed glottis. The pressure in the oesophagus increases rapidly, and the oesophagus usually bursts in the lower third, sending a stream of material into the mediastinum and often the pleural cavity as well.\nPresents with acute chest pain\nOperative repair is the mainstay in large perforations,\nNon-operative repair can be used in small perforations, with minimal septic load esp in case of perforations during flexible endoscopy.', 'role': 'assistant'}]