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: Pathology
Which of the following is associated with destruction of valves ? 
Select and explain. 
A. Acute infective endocarditis, B. Libman sach's endocarditis, C. Rheumatic Hea disease, D. All
A: Acute infective endocarditis
Answer: A: Acute infective endocarditis 
Explanation: Ans. is 'a' i.e., Acute infective endocarditis Note : Amongst the given options infective endocarditis is most destructive.