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: Medicine
[{'content': 'Hypercalcemia is not seen in: \nSelect and explain. \nA. Lithium therapy, B. Chronic renal failure, C. Multiple myeloma, D. Vitamin A deficiency', 'role': 'user'}, {'content': "Answer: D \nExplanation: Answer is D (Vitamin A deficiency). Hypercalcemia is seen with Vit. A intoxication (not deficiency) due to associated high bone turnover. Causes of hypercalcemia: Parathyroid related Vitamin D related * * * Primary hyperparathyroidism Q Lithium therapy Q Familial hypercalciuric hypercalcemia * * * Vitamin D intoxication Increased 1, 25 (OH), D eg. SarcoidosisQ; other granulomatous ds. Idiopathic hypercalcemia of infancy Malignancy related Associated high bone turnover * Solid tumor with metastasis (Breast) * HypehyroidismQ * Solid tumor with paraneoplastic syndromes * hnmobilizationu (Carcinoma Breast/Lung /Kidney etc.) * ThiazidesQ * Hematological malignancies: * Vitamin A intoxicationQ Multiple myelomaQ / Lymphoma / * Paget 's disease Leukemia Associated With Renal FailureQ * Pheochoromocytoma (rare) * Severe secondary hyper-parathyroidism * MEN syndromes * Aluminum intoxication * Milk Alkali syndrome", 'role': 'assistant'}]