This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: C.V.S, Subject name: Medicine
In a patient with a liver disease, which maneuvers, may lead to the development of hyperammonemia? 
Select and explain. 
A. Protein restriction, B. The use of neomycin, C. The use of loop diuretics, D. A branched-chain amino acid-enriched protein mixture
C: The use of loop diuretics
Answer: C: The use of loop diuretics 
Explanation: The use of loop diuretics promotes kaliuresis and therefore may lead to hyperammonemia. Ref: Harrison; 19th edition