This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hematology, Subject name: Pharmacology
[{'content': 'If a fibrinolytic drug is used for the treatment of acute myocardial infarction, the adverse effect most likely to occur is: \nSelect and explain. \nA. Acute renal failure, B. Development of antiplatelet antibodies, C. Encephalitis secondary to liver dysfunction, D. Hemorrhagic stroke', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Bleeding is the most common adverse effect of anticoagulants, antiplatelets and fibrinolytic agents. Bleeding can manifest as hemorrhagic stroke in pts. on fibrinolytics therapy such as- Alteplase, Retaplase, Streptokinase. C/I of Fibrinolytics :- H/O Hemorrhagic Stroke H/O NON Hemorrhagic Stroke (within 1yr) Suspicion of aoic dissection Marked hypeension (SBP>180mm Hg and DBP>110mm Hg) Active internal bleed (Excluding menses)', 'role': 'assistant'}]