This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Respiratory system, Subject name: Medicine
Pulmonary tuberculosis is more common in following associated diseases except - 
Select and explain. 
A. Acquired Immune Deficiencies syndrome, B. Diabetes, C. Chronic renal failure, D. Mitral stenosis
D: Mitral stenosis
Answer: D: Mitral stenosis 
Explanation: Risk factors for active tuberculosis among persons who have been infected with Tubercle bacilli include comorbidities like HIV infection(relative risk of 21-30),chronic renal failure(10-25),diabetes(2-4),silicosis(30),IV drug use(10-30),immunosuppressive treatment(10),gastrectomy(2-5),jejunoileal bypass(30-60),posttransplantation period(renal,cardiac:20-70). Ckd ,HIV/aids and diabetes are immune compromised conditions. Reference:Harrison's Medicine-18th edition,page no:1342.