This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Menier's Disease, Subject name: ENT
[{'content': "All are differential diagnosis of Meniere's disease except: \nSelect and explain. \nA. Acoustic neuroma, B. CNS disease, C. Labyrinthitis, D. Suppurative otitis media", 'role': 'user'}, {'content': 'Answer: D \nExplanation: (d) Suppurative otitis media(Ref. Scott Brown, 8th ed., Vol 2, 833)The presenting symptom of Meniere is vertigo. So therefore CNS disease, labyrinthitis and Acoustic neuroma are among the differentials.Suppurative otitis media is clearly characterised by ear discharge and perforation of tympanic membrane.', 'role': 'assistant'}]