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: Gynaecology & Obstetrics
[{'content': 'True about fatty liver of pregnancy:a) Common in third trimesterb) Microvesicular fatty changesc) Lysosomal injury is the caused) Alcohol is the main causee) Recurrence is very common \nSelect and explain. \nA. ac, B. ab, C. ad, D. bc', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Acute fatty liver of pregnancy/Acute yellow atrophy of the liver:\n\nIt is a rare condition occurring in third trimester (mean gestational age of 37.5 weeks)\nIt is the the M/C cause of acute liver failure during pregnancy.\n\nAetiology:\n\nIt is associated with disorders of fatty acid transport and oxidation-deficiency of LCHAD enzyme, i.e. long chair hydroxyl aceyl coenz A dehydrogenase\nRisk is increased in case of:\n\nFirst pregnancy, male fetuses, preeclampsia, maternal obesity and multiple pregnancy.\nHistology: Pathology\n\nLiver is yellow, soft and greasy:', 'role': 'assistant'}]