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': 'In serous otitis media which one of the following statements is true - \nSelect and explain. \nA. Sensorineural deafness occurs as a complication in 80% of the cases, B. Intracranial spread of the infection complicates the clinical courses, C. Tympanostomy tubes are usually required for treatement, D. Gram-positive organisms are grown routinely in culture in the aspirate', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Lets look at the options one by one:\nSerous otitis media:\nOption a\nSensori neural deafness occurs as a complication in 80% of cases\nThis is not correct because serous otitis media leads to conductive type of hearing loss.\nOption b\nIntracranial spread of the infection complicates the clinical course\nThis is not true as complications of serous otitis media are:\n\nAdhesive otitis media\nAtrophy of tympanic membrane\n[ Tympanosclerosis (chalky white deposits seen on membrane)\nAtelectasis of middle ear\nOssicular necrosis\nCholesteatoma due to retraction pockets\nCholesterol granuloma due to stasis of secretions\n\nOption c\nThis is correct because if medical management fails, best treatment is myringotomy with insertion of Tympanostomy tube (Grommet or ventilation tube)\nOption d\n\nGram positive organism are grown routinely in culture in the aspirate\nAbsolutely incorrect because fluid collection in serous otitis media is sterile', 'role': 'assistant'}]