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 of the following are precipitating factor for hepatic encephalopathy in patients with chronic liver disease except \nSelect and explain. \nA. Hypokalemia, B. Hyponatremia, C. Hypoxia, D. Metabolic acidosis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Answer is D (Metabolic acidosis): Hepatic encephalopathy is precipitated by metabolic alkalosis and not by metabolic acidosis. Electrolyte and Metabolic imbalances that precipitate Hepatic Encephalopathy Hypokalemia Alkaosis (Metabolic Alkalosis) Hypoxia Hyponatremia', 'role': 'assistant'}]