<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 38-year-old woman comes to the physician for the first time because of a 2-year history of lower back pain and fatigue. She also says that she occasionally feels out of breath. Her symptoms are not associated with physical activity. She has seen multiple physicians over the past year. Extensive workup including blood and urine tests, abdominal ultrasound, MRI of the back, and cardiac stress testing have shown no abnormalities. The patient asks for a medication to alleviate her symptoms. Which of the following is the most appropriate response by the physician?? A: I would like to investigate your shortness of breath by performing coronary artery catheterization., B: Your symptoms are suggestive of a condition called somatic symptom disorder., C: I would like to assess your symptoms causing you the most distress and schedule monthly follow-up appointments., D: I would like to refer you to a psychiatric specialist to start behavioral psychotherapy., E: Your desire for pain medication is suggestive of a medication dependence disorder.,  <response>: This is a question about how to approach a patient with nonspecific symptoms and normal test results. The history suggests somatic symptom disorder, where patients experience multiple subjective physical symptoms causing distress and impairment. The most appropriate initial response is to acknowledge the patients symptoms, assess which are most distressing, schedule close follow-up, and avoid unnecessary testing or medication. Psychiatric referral or accusations of medication-seeking behavior would be premature without first establishing rapport and trust. Coronary catheterization is not indicated given normal cardiac testing. C: I would like to assess your symptoms causing you the most distress and schedule monthly follow-up appointments. 