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
TRUE about Aluminium phosphide poisoning is all, EXCEPT: 
Select and explain. 
A. Subendocardial infarction, B. Inhibits cytochrome A of respiratory chain, C. Causes esophageal stricture, D. Liberates phosphine gas
C: Causes esophageal stricture
Answer: C: Causes esophageal stricture 
Explanation: Aluminium phosphide is a solid fumigant pesticide, insecticide and rodenticide. Mild intoxication produce nausea, vomiting, headache and abdominal pain and the patient usually recover. In moderate and severe poisoning, systemic manifestations are early and progressive and mostly fatal. G.I.T: Nausea,vomiting,diarrhoea,retrosternal pain. C.V.S: Hypotension, shock, arrhythmias, myocarditis, pericarditis, acute congestive hea failure. R.S: Cough, dyspnoea, cyanosis, pulmonary edema, respiratory failure. Hepatic: Jaundice, hepatitis, hepatomegaly. Renal: Renal failure C.N.S: Headache, dizziness, altered mental state, restlessness, convulsions, acute hypoxic encephalopathy, coma. Cardiogenic shock is the most common cause of death. Ref: K.S.N.Reddy 29th Ed Page 473