This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Rheumatic Hea disease & infective endocarditis, Subject name: Medicine
[{'content': 'Not a cause of Roth spots? \nSelect and explain. \nA. Leukemia, B. Severe anemia, C. SLE, D. Hypersensitivity pneumonitis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Roth spots Round retinal hemorrhages with white centers Seen in : Infective endocarditis SLE Serum sickness Polyaeritis nodosa Severe anemia Leukemia Prolonged anesthesia', 'role': 'assistant'}]