This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gestational Trophoblastic Disease, Subject name: Gynaecology & Obstetrics
[{'content': "The following are related to prophylactic chemotherapy in molar pregnancy: \nSelect and explain. \nA. It may be given in 'at risk' patients, B. Multiple agents are preferred, C. Malignant sequelae becomes nil, D. Follow-up is not required", 'role': 'user'}, {'content': "Answer: A \nExplanation: Ans. is a, i.e. It may be given in 'at risk' patientsRef. Dutta Obs. 7/e. p 196Prophylactic chemotherapy in H moleIs given only to high risk patients (as discussed earlier) and to not all patients following suction evaculation because these drugs are toxic and can increase the risk of premature ovarian failure and menopause.Monotherapy with methotrexate is prefered (not multiple agents).The use of prophylactic chemotherapy reduces the chances of developing choriocarcinoma but doest not make it nil.", 'role': 'assistant'}]