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: Surgery
[{'content': 'Contra indications of portal systemic shunting include- \nSelect and explain. \nA. Serum albumin less than 3 mg%, B. Massive ascites, C. Significant juandice, D. All of the above', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]