This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Bile duct, Subject name: Surgery
[{'content': "Which of the following is not associated with choledocholithiasis? \nSelect and explain. \nA. Increased levels of ALP, B. Dyspepsia, C. Murphy's sign, D. Increased risk of pancreatitis", 'role': 'user'}, {'content': "Answer: C \nExplanation: CBD stone (aka choledocholithiasis)- Present in 6 - 12% patients of gall stones C/F of choledocholithiasis: Asymptomatic, dyspepsia Biliary colic Jaundice with or without complications Complications: | risk of infection | risk of pancreatitis | risk of cholangiocarcinoma Murphy's sign/Naunyn's sign: Seen in acute cholecystitis Due to inflammation of the wall of gall bladder When right 9th coastal cailage is pressed, there is sudden catch in inspiration.", 'role': 'assistant'}]