Which was one direct result of the Columbian Exchange?

A. Europeans began to use horses to plow fields
B. American Indians built large urban centers
C. American Indians adopted European artistic techniques
D. Europeans spread diseases to American Indians

My goodness! How do you think you'll get an education by such guess work?

What does your reading assignment say? Whoever writes the test questions will base them on your reading assignment.

The direct result of the Columbian Exchange was D. Europeans spread diseases to American Indians. This exchange occurred after Christopher Columbus arrived in the Americas in 1492 and opened up a widespread exchange of goods, ideas, and diseases between the New World and the Old World. European diseases, such as smallpox, measles, and influenza, were introduced to the Americas, causing devastating epidemics among the indigenous populations who had no immunity to these diseases. This led to a significant decline in the American Indian populations in the years following the Columbian Exchange.

To get this answer, you could have also done some research on the topic by looking up reliable sources, such as history books, articles, or academic journals. These sources would provide you with the necessary information to understand the direct consequences of the Columbian Exchange.

D makes more sense to me, but I have seen people who say it's A.