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: Pathology
The disease process that best accounts for this problem: 
Select and explain. 
A. Ethylene glycol poisoning, B. Chronic obstructive pulmonary disease, C. Congestive hea failure, D. Vomiting
D: Vomiting
Answer: D: Vomiting 
Explanation: Vomiting