<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 48-year-old male accountant presents to the family practice clinic for his first health check-up in years. He has no complaints, and as far as he is concerned, he is well. He does not have any known medical conditions. With respect to the family history, the patient reports that his wifes brother died of a heart attack at 35 years of age. His blood pressure is 14089 mm Hg and his heart rate is 89min. Physical examination is otherwise unremarkable. What is the single best initial management for this patient?? A: Return to the clinic for a repeat blood pressure reading and counseling on the importance of aerobic exercise., B: Try angiotensin-converting enzyme inhibitor., C: Start trial of calcium channel blockers., D: Treat the patient with beta-blockers., E: The patient does not require any treatment.,  <response>: This is a question about the initial management of a 48-year-old male with mildly elevated blood pressure of 14089 mm Hg and a family history of early heart attack in a first-degree relative. The key points are the mildly elevated blood pressure, family history, and lack of other medical conditions or symptoms. This suggests the patient may be at increased risk for hypertension and cardiovascular disease, but does not yet meet the criteria for diagnosis or medication. Lifestyle modifications are the appropriate first step. Of the choices, only A recommends lifestyle changes without immediately starting medications. A: Return to the clinic for a repeat blood pressure reading and counseling on the importance of aerobic exercise. 