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': 'Procedure of choice in ulcerative colitis with acute perforation is - \nSelect and explain. \nA. Defunctioning ileostomy, B. Closure of perforation, C. Proximal diversion colostomy, D. Total colectomy and ileostomy', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]