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': "Differential diagnosis of Meniere's disease are all expect - \nSelect and explain. \nA. Acoustic neuroma, B. CNS disease, C. Labyrinthitis, D. Suppurative otitis media", 'role': 'user'}, {'content': 'Answer: D \nExplanation: Differential Diagnosis of Vertigo + Tinnitus + SNHL Deafness – Includes:\n\nMeniere’s disease (Endolymphatic hydrops)\nSyphilis\nLabyrinthitis\nLabyrinthine trauma due to fracture of temporal bone, postoperatively after stapedectomy\nCogan syndrome\nLabyrinthine hemorrhage due to blood dyscrasia\nAcoustic neuroma/meningioma (CP angle lesion),\nMultiple sclerosis,\nHypothyroidism/Hyperlipidemia\n\nNOTE\nIn serous otitis media these symptoms may be seen but then hearing loss will be of conductive variety and not SNHL.', 'role': 'assistant'}]