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: Medicine
[{'content': 'All are liver function test alterations in bacterial sepsis, EXCEPT: \nSelect and explain. \nA. Elevation of bilirubin with normal liver enzymes, B. LFT alteration is due to the endotoxemia, C. Endotoxemia impairs transpo of anions, resulting in impaired bile flow, D. Jaundice is always associated with leukocytes', 'role': 'user'}, {'content': "Answer: D \nExplanation: JAUNDICE IN BACTERIAL SEPSIS (1) Dispropoionate increase in serum bilirubin compared to aminotransferase and ALP (2) It can appear even without fever / hypotension, Leukocytosis (3) Mechanisms : Endotoxin mediated cytokine activation (4) It impairs transpo of anions in both sinusoidal and canalicular membranes resulting in impaired bile flow Ref: schiff's diseases of liver : E - 11, P - 232.", 'role': 'assistant'}]