<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 39-year-old man comes to the physician because of a 4-month history of fatigue. During this period, he has also had a 7.7-kg 17-lb weight loss, despite having a normal appetite. He is sexually active with 3 female partners and uses condoms inconsistently. An HIV screening test and confirmatory test are both positive. CD4 T-lymphocyte count is 570mm3 N 500 and the viral load is 104 copiesmL. Treatment with lamivudine, zidovudine, and indinavir is begun. The patient is most likely to experience which of the following adverse effects?? A: Hyperpigmentation of palms and soles, B: Hepatotoxicity, C: Urolithiasis, D: Pancreatitis, E: Stevens-Johnson syndrome,  <response>: This is a clinical vignette describing a 39-year-old man with a 4-month history of fatigue, weight loss, and positive HIV tests. He has started antiretroviral therapy with lamivudine, zidovudine and indinavir. The question asks about the most likely adverse effect he may experience from this regimen.Choice A discusses hyperpigmentation which is not a common side effect of these medications. Choice B discusses hepatotoxicity which can be caused by indinavir. This is a potential answer.Choice C discusses urolithiasis which is a known side effect of indinavir due to crystallization in the urinary tract. This is a very likely answer.Choice D discusses pancreatitis which is not a common side effect of these medications. Choice E discusses Stevens-Johnson syndrome which is a very rare side effect not typically associated with these medications.Based on the analysis, choice C urolithiasis is the most likely adverse effect this patient may experience from the antiretroviral regimen described.C: Urolithiasis 