What does the cryptic crossword clue "Love interest of old city MD? (4)" mean?

The definition is "MD?". The wordplay uses a charade (building blocks). EX (abbreviation="old") + EC (abbreviation="city") = EXEC; definition: "MD?" The answer is EXEC.

Love interest of old city MD? (4)

Times Cryptic #29069 | 26 Across | 2024-11-08 flower

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