This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical Jurisprudence, Subject name: Forensic Medicine
A death ceificate is given below, main underlying cause of death is :- 
Select and explain. 
A. Pulmonary embolism, B. Secondary carcinoma shaft of femur, C. Fracture of femur, D. Malignant neoplasm of breast
D: Malignant neoplasm of breast
Answer: D: Malignant neoplasm of breast 
Explanation: Death ceificate consists of two pas. Pa I is divided into three sub pas - (a), (b) and (c). These are for disease processes that have led directly to death, (a) is a direct cause of death and is a consequence of (b), which in turn is due to (c). it is the disease in 1(c) or 1(d) that is the most impoant, as it is the primary pathological condition, the sta of the events leading to death. It is this disease that is the underlying cause of death. Pa I (c) and I(d) are the essence of death ceificate and denote the main underlying cause of death