<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old woman presents to her primary care physician for recurrent deep venous thrombosis DVT of her left lower extremity. She is a vegetarian and often struggles to maintain an adequate intake of non-animal based protein. She currently smokes 1 pack of cigarettes per day, drinks a glass of wine per day, and currently denies any illicit drug use, although she endorses a history of heroin use injection. Her past medical history is significant for 4 prior admissions for lower extremity swelling and pain that resulted in diagnoses of deep venous thrombosis. Her vital signs include: temperature, 36.7C 98.0F; blood pressure, 12674 mm Hg; heart rate, 87min; and respiratory rate, 16min. On physical examination, her pulses are bounding, the patents complexion is pale, breath sounds are clear, and heart sounds are normal. The spleen is mildly enlarged. She is admitted for DVT treatment and a full hypercoagulability workup. Which of the following is the best initial management for this patient?? A: Begin heparin, B: Begin heparin and warfarin, C: Begin warfarin, target INR 2.03.0, D: Begin warfarin, target INR 2.53.5, E: Consult IR for IVC filter placement,  <response>: This is a question about the initial management of a 35-year-old woman with recurrent deep venous thrombosis DVT. The key points from the stem are:- Recurrent DVT of left lower extremity despite being a vegetarian - Smokes 1 pack per day, drinks wine daily- History of IV heroin use- 4 prior admissions for DVT - Vital signs are normal- Physical exam shows pale complexion, enlarged spleen- She is admitted for DVT treatment and hypercoagulability workupThe recurrent nature of her DVTs and the lack of obvious provoking factors point to an underlying hypercoagulable state. Her history of IV drug use raises suspicion for HIVAIDS or hepatitis C as a possible cause. Her smoking and alcohol use are risk factors. The correct initial management will be anticoagulation to treat the acute DVT, as well as starting the workup for hypercoagulability. Of the choices given, beginning heparin and warfarin allows for initial anticoagulation with heparin while transitioning to warfarin for longer term treatment. The target INR will be important to choose correctly.B: Begin heparin and warfarin 