Definition: In this task, you are given a multiple-choice question about healthcare. Answer the question based on your information and classify your answers into '1', '2', '3', and '4'.
Input: Question: The association of advanced age, diabetes, otalgia that does not progress favorably despite the treatment and paralysis of the VII cranial nerve lead to think of one of the following clinical pictures as the first option: 
 Options:  <1> Nasopharyngeal carcinoma <2> Granular myringitis. <3> Diffuse labyrinthitis. <4> Carcinoma of the temporal bone. <5> Malignant external otitis
