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': 'Which of the following features is not associated with acute osteomyelitis of mandible \nSelect and explain. \nA. Severe pain, B. Purulent exudate, C. Paresthesia of lower lip, D. Radiographic evidence of bone destruction', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]