This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Pathology
[{'content': 'Death may be attributed to Hanging in presence of \nSelect and explain. \nA. Ligature mark with petechial hemorrhages and ecchymoses into or around its substance, B. Tear of intima of carotid aeries and extravasation of blood, C. Congestion and hemorrhage in lymph nodes above and below the ligature mark, D. All of the above', 'role': 'user'}, {'content': 'Answer: D \nExplanation: .', 'role': 'assistant'}]