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 seen after moderate injury/ severe injury or major surgery? \nSelect and explain. \nA. Negative nitrogen balance, B. Tachypnoea, C. Hyper metabolism, D. Hyperphagia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]