<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 20-year-old woman presents with menorrhagia for the past several years. She says that her menses have always been heavy, and she has experienced easy bruising for as long as she can remember. Family history is significant for her mother, who had similar problems with bruising easily. The patients vital signs include: heart rate 98min, respiratory rate 14min, temperature 36.1C 96.9F, and blood pressure 11087 mm Hg. Physical examination is unremarkable. Laboratory tests show the following: platelet count 200,000mm3, PT 12 seconds, and PTT 43 seconds. Which of the following is the most likely cause of this patients symptoms?? A: Factor V Leiden, B: Hemophilia A, C: Lupus anticoagulant, D: Protein C deficiency, E: Von Willebrand disease,  <response>: Based on the information provided in the question stem, the key findings are: - The patient is a 20-year-old woman with heavy menstrual bleeding menorrhagia and easy bruising for many years. - Family history is significant for similar symptoms in her mother.- Vital signs are normal. Physical exam is unremarkable.- Lab tests show: low platelet count, normal PT, prolonged PTT.This presentation is most consistent with a bleeding disorder. The low platelet count, prolonged PTT and family history point towards a possible inherited coagulation factor deficiency. Von Willebrand disease is the most common inherited bleeding disorder and can present with menorrhagia and easy bruising. Of the options, Von Willebrand disease is the most likely diagnosis.E: Von Willebrand disease 