This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Genital Tract Infections (Too hot to handle!), Subject name: Gynaecology & Obstetrics
Which of these about 'Silent pelvic inflammatory disease'' is FALSE ? 
Select and explain. 
A. Accidentally diagnosed in asymptomatic patients., B. Associated with infeility., C. Associated with tubal adhesions., D. Associated with acute pain abdomen
D: Associated with acute pain abdomen
Answer: D: Associated with acute pain abdomen 
Explanation: Silent Pelvic inflammatory disease Follows continuous or multiple episodes of low grade infection in asymtomatic women Diagnosis given to women with tubal factor infeility who lack a history compatible with upper tract infection Most of these patients have antibodies to chlamydia or nesseria Tubes may be normal, may show adhesions, hydrosalpinx