input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** A 35 years old female patient present with hearing loss with improvement in hearing in noisy environment. On examination Rinne's is negative and weber's is centralized. Following is the audiometry repo. What is the most likely diagnosis:   (A) Meniere's disease   (B) Perilymph fistula   (C) Stapedial Otosclerosis   (D) Vestibular Schwannoma
output: ['(C) Stapedial Otosclerosis <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', "(A) Meniere's disease  (B) Perilymph fistula  (C) Stapedial Otosclerosis  (D) Vestibular Schwannoma <> possible answers", "  A 35 years old female patient present with hearing loss with improvement in hearing in noisy environment. On examination Rinne's is negative and weber's is centralized. Following is the audiometry repo. What is the most likely diagnosis: <> context"]