This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Otosclerosis, Subject name: ENT
[{'content': 'A patient hears better in noise. The diagnosis is: \nSelect and explain. \nA. Hyperacusis, B. Hypoacusis, C. Presbyacusis, D. Paracusis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Hyperacusis - increased sensitivity to noise Hypoacusis - decreased sensitivity to noise Presbycusis - SNHL a/w old age Paracusis - a patient hears better in noisy environment. (seen in otosclerosis)', 'role': 'assistant'}]