<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 63-year-old man presents to the clinic complaining of burning bilateral leg pain which has been increasing gradually over the past several months. It worsens when he walks but improves with rest. His past medical and surgical history are significant for hypertension, hyperlipidemia, diabetes, and a 40-pack-year smoking history. His temperature is 99.0F 37.2C, blood pressure is 167108 mm Hg, pulse is 88min, respirations are 13min, and oxygen saturation is 95 on room air. Physical exam of the lower extremities reveals palpable but weak posterior tibial and dorsalis pedis pulses bilaterally. Which of the following is the best initial treatment for this patients symptoms?? A: Balloon angioplasty with stenting, B: Exercise and smoking cessation, C: Femoral-popliteal bypass, D: Lisinopril and atorvastatin, E: Lovenox and atorvastatin,  <response>: This is a patient with symptoms and risk factors concerning for peripheral artery disease PAD, such as burning leg pain on exertion, weak pedal pulses, hypertension, hyperlipidemia, diabetes, and smoking history. The initial management should focus on risk factor modification through exercise, smoking cessation, and medications to control blood pressure, lipids, and diabetes. Revascularization procedures like angioplasty or bypass surgery may be considered for more severe, lifestyle-limiting claudication, but are not first-line. Anticoagulation is not routinely indicated unless there are other risk factors for thrombosis. B: Exercise and smoking cessation 