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: Gynaecology & Obstetrics
[{'content': 'Contraindications of IUCD:a) Undiagnosed vaginal bleedingb) PIDc) Smokingd) Obesitye) Diabetes \nSelect and explain. \nA. ac, B. a, C. ad, D. ab', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Absolute contraindications of IUCD/WHO Category 4\nPlease\xa0 \xa0 \xa0 \xa0 \xa0Puerperal sepsis/Pregnancy\nDon’t\xa0 \xa0 \xa0 \xa0 \xa0 \xa0DUB\nTry to\xa0 \xa0 \xa0 \xa0 \xa0 Gestation of trophoblastic disease\nPut\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 current PID/STD or within the past 3 months puerperal sepsis\nCondom\xa0 \xa0 \xa0Cancer cervix\n\xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0 \xa0Cancer endometrium\xa0\nMnemonic: Please Don’t Try to Put Condom\nRelative contraindications of IUCD\xa0\n• Distortions of uterine cavity due to congenital malformations, fibroid\n• Wilson disease\n• Scarred uterus (Jeffcoate/Shaw)\nAccording to WHO, IUCD can be used in valvular heart disease but antibiotics should be given before insertion.', 'role': 'assistant'}]