<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 71-year-old man presents to the physician for a routine health-maintenance examination. He feels well; however, he is concerned about the need for prostate cancer screening. He has a 3-year history of benign prostatic hyperplasia. His symptoms of urinary hesitancy and terminal dribbling of urine are well controlled with tamsulosin and finasteride. He also had a percutaneous coronary angioplasty done 2 years ago following a diagnosis of unstable angina. His medication list also includes aspirin, atorvastatin, losartan, and nitroglycerin. His vital signs are within normal limits. He has never had a serum prostate-specific antigen PSA test or prostate ultrasonography. Which of the following is the most appropriate screening test for prostate cancer in this patient?? A: Prostate ultrasonography every year, B: Prostate ultrasonography every 5 years, C: Serum PSA every year, D: Serum PSA every 2-4 years, E: No screening test is recommended,  <response>: This is a question about prostate cancer screening in an older male patient with benign prostatic hyperplasia, cardiovascular disease, and multiple medications. The key factors to consider are the patients age, comorbidities, symptoms, and preferences. Screening guidelines generally recommend against PSA screening in men with limited life expectancy due to age or comorbidities where the harms may outweigh the benefits. However, patient preferences should also be considered.E: No screening test is recommended 