<prompt> Which of the following is TRUE about stapedial reflex?Involves a spinal reflexInvariably the first manifestation of Menieres diseaseProtects from loud noisesIs a polysynaptic reflex  <response>: Stapedial reflex - A loud noise is put in either the ipsilateral or contralateral ear and the reflex causes the stapedius tendon to contract suddenly. This may be seen on tympanometry as a flick and is evidence of a functioning VII nerve down to this branch. Absence of the reflex may be result of many other disorders eg. Hearing as well as VII nerve lesion. 