This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hepatitis, Subject name: Medicine
Granulomatosis hepatitis is not caused by: 
Select and explain. 
A. Blastomycosis, B. Metastatic carcinoma, C. Tuberculosis, D. Cat scratch disease
B: Metastatic carcinoma
Answer: B: Metastatic carcinoma 
Explanation: Granulomatous hepatitis is a cause of pyrexia of unknown origin and granulomas are picked up on CT scan or USG abdomen. It is associated with infections like tuberculosis, cat scratch disease, blastomycosis, histoplasmosis.