This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hepatic encephalopathy & hepatic failure, Subject name: Medicine
[{'content': 'Earliest manifestation in hepatic encephalopathy is? \nSelect and explain. \nA. Asterixis, B. Alternate constriction and dilated pupil, C. Constructional apraxia, D. Psychiatric abnormalities', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Earliest manifestation in hepatic encephalopathy is Psychiatric abnormalities.', 'role': 'assistant'}]