<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 53-year-old man presents with swelling of the right knee. He says that the pain began the previous night and was reduced by ibuprofen and an ice-pack. The pain persists but is tolerable. He denies any recent fever, chills, or joint pains in the past. Past medical history includes a coronary artery bypass graft CABG a year ago for which he takes aspirin, atorvastatin, captopril, and carvedilol. The patient reports a 20-pack-year history of smoking but quits 5 years ago. He also says he was a heavy drinker for the past 30 years but now drinks only a few drinks on the weekends. On physical examination, the right knee is erythematous, warm, swollen, and mildly tender to palpation. Cardiac exam is significant for a mild systolic ejection murmur. The remainder of the examination is unremarkable. Arthrocentesis of the right knee joint is performed, which reveals the presence of urate crystals. Which of the following medications is most likely responsible for this patients symptoms?? A: Aspirin, B: Vitamin C, C: Carvedilol, D: Atorvastatin, E: Captopril,  <response>: This is a clinical vignette about a 53-year-old man with acute swelling and pain in his right knee. The description of the knee exam findings along with the presence of urate crystals on arthrocentesis indicate this is likely an acute gout attack. The question asks which of the patients medications is most likely responsible. The choices include aspirin, vitamin C, carvedilol, atorvastatin, and captopril. Aspirin is known to potentially exacerbate gout by interfering with uric acid excretion. The other medications are not known to precipitate gout flares. Vitamin C does not affect uric acid levels. Carvedilol is a beta blocker used for heart disease. Atorvastatin is a statin drug that lowers cholesterol. Captopril is an ACE inhibitor used for hypertension and heart failure.Based on the information provided, aspirin is the most likely culprit for causing this patients acute gout attack.A: Aspirin 