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: Pathology
[{'content': 'The highest E.S.R. is seen in following conditions except: \nSelect and explain. \nA. Polymyositis rheumatica, B. Multiple myeloma, C. Temporal activities, D. Polycythemia rubra', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Polycythemia rubra', 'role': 'assistant'}]