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: Ophthalmology
[{'content': 'In which of the following condition paradoxical pupillary reaction is present? \nSelect and explain. \nA. Syphilis, B. Tumors of quadrigeminal region, C. Sleeping individuals who have taken barbiturates, D. All of the above', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Paradoxical pupillary reaction is present in patients with syphilis, tumors of quadrigeminal region, sleeping individuals who have taken barbiturates and in trauma. In paradoxical pupillary response either: The pupil dilate with near vision or constricts in distant vision The pupil dilates on exposure to light or constricts when light is withdrawn Ref:Textbook of Ophthalmology edited by Sunita Agarwal page 308', 'role': 'assistant'}]