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: Pediatrics
Vitamin A deficiency is characterized by all, EXCEPT: 
Select and explain. 
A. Bitot's spot, B. Xerophthalmia, C. Night blindness, D. Tranta's spot
D: Tranta's spot
Answer: D: Tranta's spot 
Explanation: The most characteristic and specific signs of vitamin A deficiency are eye lesions. These develop before the age of 2 years. All the ocular manifestation of Vitamin A deficiency, term Xerophthalmia. Xerophthalmia (Dry eye): It has following stages: 1)Night blindness (earliest ocular symptom, conjunctival xerosis (earliest ocular sign) 3)Bitot's spot 4)Corneal xerosis 5)Keratomalacia and corneal ulcers. Tranta's spot is seen in Vernal keratoconjunctivitis. Ref: O.P.Ghai 6th Ed Page 120,121.