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
Not a cause of Roth spots? 
Select and explain. 
A. Leukemia, B. Severe anemia, C. SLE, D. Hypersensitivity pneumonitis
D: Hypersensitivity pneumonitis
Answer: D: Hypersensitivity pneumonitis 
Explanation: Roth spots Round retinal hemorrhages with white centers Seen in : Infective endocarditis SLE Serum sickness Polyaeritis nodosa Severe anemia Leukemia Prolonged anesthesia