<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 65-year-old man presents to the dermatology clinic to have a basal cell carcinoma excised from his upper back. The lesion measures 2.3 x 3.2 cm. He has a medical history significant for hypertension and diabetes mellitus type II, for which he takes lisinopril and metformin, respectively. He has had a basal cell carcinoma before which was excised in the clinic without complications. Which of the following modes of anesthesia should be used for this procedure?? A: Local anesthesia, B: Peripheral nerve block, C: Spinal anesthesia, D: Moderate sedation, E: General anesthesia,  <response>: This is a question about selecting the appropriate anesthesia for excising a basal cell carcinoma in an older patient with some medical comorbidities. The key factors here are that it is a relatively small lesion on the back, so it should be easily accessible. The patient is older with some medical issues, so we want to avoid unnecessary risks. Local anesthesia should provide adequate pain control for this small procedure while avoiding risks of sedation or neuraxialgeneral anesthesia in this patient. A: Local anesthesia 