This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Cardiovascular system, Subject name: Pathology
Flat vegetations in pockets of valves are due to - 
Select and explain. 
A. Rheumatic hea disease, B. Libman sacks Endocarditis, C. NBTE, D. Infective endocarditis
B: Libman sacks Endocarditis
Answer: B: Libman sacks Endocarditis 
Explanation: Characterised by presence of Sterile vegetation on the valves of patient with SLE. THE lesion probably develops as a consequence of immune complex deposition and thus exhibit associated inflammation often with fibrinoid necrosis of the valve substance adjacent to the vegetation Robbins 9 th edition page no. 395