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: Surgery
Grade 4 clinically in varicose veins is characterised by all exxcept 
Select and explain. 
A. Eczema, B. Lipodermatosclerosis, C. Ulceration, D. Pigmentation
C: Ulceration
Answer: C: Ulceration 
Explanation: Clinical grade 4 = skin changes 
→ Pigmentation
→ Eczema 
→ Lipodermatosclerosis