<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 69-year-old man is scheduled to undergo radical retropubic prostatectomy for prostate cancer in 2 weeks. He had a myocardial infarction at the age of 54 years. He has a history of GERD, unstable angina, hyperlipidemia, and severe osteoarthritis in the left hip. He is unable to climb up stairs or walk fast because of pain in his left hip. He had smoked one pack of cigarettes daily for 30 years but quit 25 years ago. He drinks one glass of wine daily. Current medications include aspirin, metoprolol, lisinopril, rosuvastatin, omeprazole, and ibuprofen as needed. His temperature is 36.4C 97.5F, pulse is 90min, and blood pressure is 13688 mm Hg. Physical examination shows no abnormalities. A 12-lead ECG shows Q waves and inverted T waves in leads II, III, and aVF. His B-type natriuretic protein is 84 pgmL N 125. Which of the following is the most appropriate next step in management to assess this patients perioperative cardiac risk?? A: 24-hour ambulatory ECG monitoring, B: Radionuclide myocardial perfusion imaging, C: Resting echocardiography, D: No further testing, E: Treadmill stress test,  <response>: This is a question asking about the most appropriate next step to assess perioperative cardiac risk in a 69-year-old man with multiple cardiac risk factors who is scheduled for prostate surgery in 2 weeks. The key factors are his age, prior MI, angina, and ECG findings of prior infarction, as well as his upcoming major surgery. Noninvasive cardiac stress testing can help risk stratify patients prior to noncardiac surgery. Choices include ambulatory ECG monitoring, radionuclide imaging, echocardiography, no further testing, and treadmill stress testing. Based on his risk factors, further cardiac testing is appropriate. Stress testing is preferred over resting tests to assess ischemia. Treadmill testing is difficult for him given his hip osteoarthritis. Therefore, the best choices are radionuclide or echocardiographic stress testing. Radionuclide testing is considered more accurate than stress echo in this setting.B: Radionuclide myocardial perfusion imaging 