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
Which of the following conditions causes maximum hearing loss - 
Select and explain. 
A. Ossicular disruption with intact tympic membrane, B. Disruption of malleus and incus with intact tympanic membrane, C. Partial fixation of the stapes footplate, D. Otitis media with effusion
A: Ossicular disruption with intact tympic membrane
Answer: A: Ossicular disruption with intact tympic membrane 
Explanation: None