This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Surgery
[{'content': "Which one is not associated with peptic ulcer? \nSelect and explain. \nA. Cirrhosis, B. Smoking cigarette, C. Zollinger-Ellison's syndrome, D. Plummer-Vinson syndrome", 'role': 'user'}, {'content': "Answer: D \nExplanation: Stress, anxiety: 'hurry, worry, curry' -- H. pylori (90%) -- NSAIDs, steroids -- Blood group O+ve -- Endocrine: Zollinger-Ellison syndrome, MEN-1, Cushing's syndrome, hyperparathyroidism -- Alcohol, smoking, vitamin deficiency -- Chronic pancreatitis, Cirrhosis", 'role': 'assistant'}]