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
Patient with nasopharyngeal carcinoma can present with the following except ? 
Select and explain. 
A. Homer's syndrome, B. Epistaxis and proptosis, C. Trismus, D. Sensineuronal hearing loss
D: Sensineuronal hearing loss
Answer: D: Sensineuronal hearing loss 
Explanation: Ans. is 'd' i.e., Sensineuronal hearing loss