A 25 year old woman suffering from bilateral hearing loss for 6 year which became profound with pregnancy. On tympanogram which of the following curve is obtained

**Core Concept**
The question is testing the understanding of the tympanogram and its association with middle ear pathology, particularly in the context of a condition that worsens with pregnancy. Otosclerosis, a type of bone growth in the middle ear, is a condition that can cause conductive hearing loss and is known to worsen during pregnancy due to increased blood flow and calcium deposition.

**Why the Correct Answer is Right**
The correct answer is related to otosclerosis, which is a condition characterized by abnormal bone growth in the middle ear, leading to fixation of the stapes bone. This fixation prevents the normal vibration of the ossicles, resulting in conductive hearing loss. The tympanogram in otosclerosis typically shows a flat or "A" curve, indicating a lack of mobility of the tympanic membrane and middle ear system. This is due to the abnormal bone growth and fixation of the stapes bone, which prevents the normal movement of the eardrum and ossicles.

**Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect as it is not a common tympanogram curve associated with otosclerosis or the described clinical scenario.
* **Option B:** This option is incorrect as it is typically associated with Eustachian tube dysfunction or patulous Eustachian tube, which is not relevant to the described clinical scenario.
* **Option C:** This option is incorrect as it is typically associated with middle ear fluid or effusion, which is not consistent with the described clinical scenario of otosclerosis.

**Clinical Pearl / High-Yield Fact**
It is essential to remember that otosclerosis can worsen during pregnancy due to increased blood flow and calcium deposition, leading to a more profound hearing loss.

**Correct Answer:** A. Flat or "A" curve.