This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Oncology, Subject name: Medicine
[{'content': 'A 30-year-old man presents to the emergency department for assessment of new symptoms of hematuria. The physical examination is normal except for an elevated blood pressure of 164/94 mm Hg. An ultrasound of the kidneys reveals multiple renal cysts in both kidneys. His father had a similar condition. Which of the following is not associated with this syndrome? \nSelect and explain. \nA. liver cysts, B. intracranial aneurysms, C. autosomal dominant inheritance, D. rheumatoid arthritis (RA)', 'role': 'user'}, {'content': 'Answer: D \nExplanation: RA is not associated with polycystic kidney disease. It has an autosomal dominant inheritance and about 50% developed renal failure by age 60 years. Cysts are also seen in the liver (more common) and pancreas. Also 5% - 10% of asymptomatic patients can have cerebral aneurysms. Renal transplantation is utilized in end-stage renal failure (ESRF). The transplanted kidney cannot be affected by the disease.', 'role': 'assistant'}]