This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General surgery, Subject name: Surgery
Which of the following is not a complication of Total Parenteral Nutrition 
Select and explain. 
A. Metabolic bone disease, B. Essential fatty acid deficiency, C. Congestive cardiac failure, D. Hypophosphatemia
C: Congestive cardiac failure
Answer: C: Congestive cardiac failure 
Explanation: .catheter related complication infections hydrothorax,pneumothorax,hemothorax cardiac tamponade injuriesto aeries and veins thrombotic complication air embolism metabolic complication azotemia essential fatty acid def fluid overload metabolic bone disease liver dysfunction glucose imbalance electrolyte imbalance trace elements and vitamin def