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: Pediatrics
[{'content': 'True about VSD is all except – \nSelect and explain. \nA. Small hole closes spontaneously, B. Defect is usually in membranous part, C. Endocarditis is a common complication, D. Pulmonary Oligemia in chest x–ray', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Chest x-ray in VSD \n\nPulmonary vasculature is increased → Pulmonary plethora (not oligemia).\nAorta is normal or smaller\nLeft atrial enlargement\nIf defect is small Normal sized heart.\nIf defect is large → Cardiomegaly.', 'role': 'assistant'}]