This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Physiological Changes of Pregnancy, Subject name: Gynaecology & Obstetrics
[{'content': "A 35 year old primigravida presents to your OPD for a regular antenatal checkup in 3rd trimester. She is upset because of spidery veins appearing on her face,upper chest, and arms. What will you do next ? \nSelect and explain. \nA. Do LFT's to rule out any liver disease, B. Refer her to a dermatologist, C. Refer her to a vascular surgeon to have the veins removed, D. Reassurance is enough", 'role': 'user'}, {'content': "Answer: D \nExplanation: Spider angiomasare collections of tiny dilated blood vessels that usually radiate from a central point and resemble the legs of aspider. The appearance of these blood vessels is a normal occurrence with pregnancy and usually resolve spontaneously after delivery It occurs due to hormonal changes, i.e. hyperestrogenemia which occurs during pregnancy* Reassurance is enough and they don't require any medical intervention.", 'role': 'assistant'}]