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: ENT
[{'content': 'A 55-years-old female presents with tinnitus, dizziness and h/o progressive deafness. Differential diagnosis includes all except: \nSelect and explain. \nA. Acoustic neuroma, B. Endolymphatic hydrops, C. Meningioma, D. Histiocytosis -X', 'role': 'user'}, {'content': "Answer: D \nExplanation: Acoustic neuroma and endolymphatic hydrops (Meniere's disease) can lead to SNHL and tinnitus (Dhingra 5/e p. 38). Meningioma can cause deafness, and tinnitus as a pa of Neurofibromatosis type 2 syndrome (Harrison 17th/ed p 2603) and its peak incidence occurs in middle age.", 'role': 'assistant'}]