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: Medicine
All of the following are precipitating factor for hepatic encephalopathy in patients with chronic liver disease except 
Select and explain. 
A. Hypokalemia, B. Hyponatremia, C. Hypoxia, D. Metabolic acidosis
D: Metabolic acidosis
Answer: D: Metabolic acidosis 
Explanation: Answer is D (Metabolic acidosis): Hepatic encephalopathy is precipitated by metabolic alkalosis and not by metabolic acidosis. Electrolyte and Metabolic imbalances that precipitate Hepatic Encephalopathy Hypokalemia Alkaosis (Metabolic Alkalosis) Hypoxia Hyponatremia