<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 42-year-old woman is brought to the physician by her husband because of a 1-year history of abnormal behavior. During this time she has been irritable, restless, and has had multiple episodes of hearing voices. Over the past month, she has also had difficulty swallowing. She has a 2-year history of depression. She was let go by her employer 6 months ago because she could no longer handle all her tasks and often forgot about assignments. Her father committed suicide at the age of 50. The patient has smoked one pack of cigarettes daily over the past 20 years. She has a history of smoking cocaine for 8 years but stopped 1 year ago. Vital signs are within normal limits. On mental status examination, she is confused and oriented to person and place only. Neurologic examination shows a delayed return to neutral ankle position after triggering the plantar reflex. Physical examination shows irregular, nonrepetitive, and arrhythmic movements of the neck and head. The patient has poor articulation. Which of the following is the most likely diagnosis?? A: Sydenham chorea, B: Parkinson disease, C: Multiple sclerosis, D: Drug-induced chorea, E: Huntington disease,  <response>: Based on the information provided in the question stem, the key findings are:- 42-year-old woman with 1-year history of abnormal behavior including irritability, restlessness, hearing voices, and difficulty swallowing - 2-year history of depression- Father committed suicide at age 50- 20 pack-year smoking history- 8-year history of cocaine use now 1 year abstinent- Confused, disoriented to time - Delayed relaxation of ankle reflexes- Irregular, nonrepetitive, arrhythmic movements of neck and head- Poor articulation- The delayed relaxation of reflexes and abnormal movements point toward an extrapyramidal disorder. The family history of early parental suicide raises suspicion for Huntington disease. The onset in the 40s and psychiatric symptoms also fit.E: Huntington disease 