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': 'Bilateral subconjunctival ecchymosis is not associated with: \nSelect and explain. \nA. Le-Fort II fracture, B. Le-Fort III fracture, C. Naso ethmoidal complex fracture, D. Le-Fort I fracture', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]