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: Forensic Medicine
Which of the following clinical manifestation is seen in severe copper sulphate poisoning? 
Select and explain. 
A. Acute hemolysis, B. High anion gap acidosis, C. Peripheral neuropathy, D. Rhabdomyolysis
A: Acute hemolysis
Answer: A: Acute hemolysis 
Explanation: Ingestion of copper sulfate or other salts causes the rapid onset of nausea and vomiting with characteristic blue-green vomit. Gastrointestinal bleeding may occur. Fluid and blood loss from gastroenteritis may lead to hypotension and oliguria. Intravascular hemolysis can result in acute tubular necrosis. Multisystem failure, shock, and death may occur. Ref: Buchwald A. (2012). Chapter 56. Copper. In K.R. Olson (Ed), Poisoning & Drug Overdose, 6e.