This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
[{'content': 'True bout hydatid disease \nSelect and explain. \nA. MC site is lung, B. Pre-op Albendazole followed by surgery is the treatment of choice, C. 20% saline is scolicidal, D. Puncute, aspiration, injection reaspiration (PAIR) done in hepatic hydatids', 'role': 'user'}, {'content': 'Answer: B \nExplanation: .Indications for drug therapy - 4 days prior to intervention and to continue it for 1 month (albendazole) to 3 months (mebendazole) after the intervention. - Inoperable cysts. - Multiple or multiorgan cysts. -Recurrent hydatids. - Surgically unfit patients. - Cysts in lungs, bone, brain, eyes. * Contraindications - Large cysts. - Honeycomb cysts (with septae). - Infected cysts. Commonly cyst enlarges and is palpable per abdomen. * It may cause complications like jaundice due to pressure over the biliary tree. * Rupture into the peritoneal cavity causes an anaphylactic reaction which may cause life-threatening shock, requiring proper management with steroids. * Rupture into biliary channels is commonest (60%). Rupture into the bowel, pleural cavity can occur. Ref: SRB&;s manual of surgery,3 rd ed, pg no 534', 'role': 'assistant'}]