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: Unknown
[{'content': 'Kwashiorkor is similar to marasmus in that both diseases have \nSelect and explain. \nA. A normal total caloric intake, B. A fatty liver, C. An apathetic affect, D. Anemia', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Both marasmus and kwashiorkor are associated with anemia.\nMarasmus is characterized by a low calorie intake. Dietary deficiencies are compensated for by the break\xaddown of protein and fats. Key findings include:\nGrowth failure, Alertness, Hunger, Monkey-like appearance , Broomstick extremities , Muscle wasting, Mild anemia\nKwashiorkor is characterized by a normal total calo\xadric intake but a decreased intake of protein (minimum protein intake is 8% of the total calories). Key findings are as follows:\n\nGrowth failure\nApathy and irritability with difficulty in feeding\nHepatomegaly (fatty liver)à apoprotein deficiency\nPitting edema\nFlaky paint dermatitis (looks like paint coming off a building)\nAreas of depigmentation\nDiarrhea due to the loss of brush border enzymes\n\n\xa0\xa0\xa0\xa0\xa0\xa0 ("use it or lose it") and parasitic diseases\n\nFlag sign in hair (alternating dark and light areas)\nProtuberant abdomen (fatty liver from decreased apoproteins, ascites, bowel distention with air)', 'role': 'assistant'}]