This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: COPD and Asthma, Subject name: Medicine
[{'content': 'All are true about Aspirin-sensitive asthma except? \nSelect and explain. \nA. Nasal polyposis, B. Treatment with inhaled coicosteroids, C. Rhinosinusitis, D. Increased prostaglandins', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Aspirin sensitive asthma is associated with severe rhinosinusitis and recurrent nasal polyposis. Pathogenesis- chronic eosinophilic inflammatory changes, with increased mast cell activation. It is associated with more severe asthma, requires increased use of inhaled and oral coicosteroids, more presentations to hospital and a risk of life-threatening reactions with aspirin. The cyclo-oxygenase pathways play a major role in the respiratory reactions that develop after aspirin ingestion.', 'role': 'assistant'}]