<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 44-year-old woman presents to her primary care physicians office with episodes of pain in her right hand. She says that the pain is most significant at night and awakens her from sleep numerous times. When she experiences this pain, she immediately puts her hand under warm running water or shakes her hand. She has also experienced episodes of numbness in the affected hand. Driving and extending the right arm also provoke her symptoms. She denies any trauma to the hand or associated weakness. Medical history is notable for hypothyroidism treated with levothyroxine. She works as a secretary for a law firm. On physical exam, when the patient hyperflexes her wrist, pain and paresthesia affect the first 3 digits of the right hand. Which of the following is the confirmatory diagnostic test for this patient?? A: Magnetic resonance imaging, B: Needle electromyography, C: Nerve conduction studies, D: Nerve biopsy, E: Tinel test,  <response>: Based on the description of episodic pain and numbness in the right hand that is worse at night and provoked by activities like driving and extending the arm, this patient likely has carpal tunnel syndrome. The symptoms are classic for median nerve compression at the wrist. Nerve conduction studies are used to confirm the diagnosis by looking for delayed conduction velocities andor conduction block in the median nerve. MRI can also visualize the anatomy but is not the definitive diagnostic test. Needle EMG examines muscle electrical activity and would not be useful here. Nerve biopsy is too invasive. The Tinel test provokes the symptoms by tapping over the nerve but does not directly assess nerve conduction.C: Nerve conduction studies 