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: Microbiology
[{'content': 'All the statements about nontuberculous mycobacteria (NTM), are TRUE, EXCEPT: \nSelect and explain. \nA. NTM are ubiquitous in soil and water, B. No human-to-human transmission of NTM, C. Disseminated disease denotes significant immune dysfunction, D. Pulmonary disease, is usually associated with systemic immunodeficiency.', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Nontuberculous mycobacteria (NTM) survives in soil and water. Most NTM cause disease in humans only rarely. There is no human-to-human transmission of NTM. Disseminated disease denotes immune dysfunction eg:advanced HIV infection. Pulmonary disease is highly associated with pulmonary epithelial defects but not with systemic immunodeficiency. Ref: Harrison, Edition-18, Page-1367.', 'role': 'assistant'}]