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
Which of the following nutrients are not included in Total parenteral nutrition: 
Select and explain. 
A. Lipids, B. Carbohydrates, C. Proteins, D. Fibres
D: Fibres
Answer: D: Fibres 
Explanation: Dietary fibres are not provided through parenteral nutrition.
Parenteral nutrition solution contains essential nutrients including protein, carbohydrates, fat, vitamins, trace elements electrolytes and water.