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
Contra indications of poal systemic include? 
Select and explain. 
A. Serum albumin less than 3 mg%, B. Massive ascites, C. Significant juandice, D. All of the above
D: All of the above
Answer: D: All of the above 
Explanation: Ans. is 'd' i.e., All of the above Shunt operation is used for child's grade 'A' cirrhosis and in the question all options are of grade 'c'