<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:An 82-year-old male visits his primary care physician for a check-up. He reports that he is in his usual state of health. His only new complaint is that he feels as if the room is spinning, which has affected his ability to live independently. He is currently on lisinopril, metformin, aspirin, warfarin, metoprolol, and simvastatin and says that he has been taking them as prescribed. On presentation, his temperature is 98.8F 37C, blood pressure is 15093 mmHg, pulse is 82min, and respirations are 12min. On exam he has a left facial droop and his speech is slightly garbled. Eye exam reveals nystagmus with certain characteristics. The type of nystagmus seen in this patient would most likely also be seen in which of the following diseases?? A: Aminoglycoside toxicity, B: Benign paroxysmal positional vertigo, C: Meniere disease, D: Multiple sclerosis, E: Vestibular neuritis,  <response>: Based on the patients presentation of spinning sensation, left facial droop, garbled speech, and nystagmus, this appears to be a case of acute stroke likely affecting the brainstem or cerebellum. The question asks which disease would present with similar nystagmus characteristics. Benign paroxysmal positional vertigo, Meniere disease, and vestibular neuritis can all present with nystagmus, but the nystagmus seen in those conditions is characteristically horizontal-torsional. In multiple sclerosis, the nystagmus can be multidirectional and is often associated with other neurological deficits. Therefore, the nystagmus in this patients stroke would most resemble that seen in multiple sclerosis.D: Multiple sclerosis 