This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: ENT
charecters of tb otitis media is 
Select and explain. 
A. painful ottorhea, B. multiple tympaniic perforation, C. pale granulation, D. facial palsy
A: painful ottorhea
Answer: A: painful ottorhea 
Explanation: Tuberculous Otitis Media * Painless , odourless otorrhoea refractory to antibiotics * Multiple TM perforations and a large perforation * Middle ear mucosa pale (congest., around E.T.0.) * Pale granulations in mastoid & middle ear * Severe deafness with bony necrosis (caries) * Facial palsy & labyrinthitis * Tb: Anti-TB therapy and mastoidectomy red : hazarika 4th ed