<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 25-year-old mother presents to her primary care physician for wrist pain. The patient recently gave birth to a healthy newborn at 40 weeks gestation. Beginning one week ago, she started having pain over her wrist that has steadily worsened. The patient notes that she also recently fell while walking and broke the fall with her outstretched arm. The patient is an accountant who works from home and spends roughly eight hours a day typing or preparing financial statements. Recreationally, the patient is a competitive cyclist who began a rigorous training routine since the birth of her child. The patients past medical history is notable for hypothyroidism that is treated with levothyroxine. On physical exam, inspection of the wrist reveals no visible or palpable abnormalities. Pain is reproduced when the thumb is held in flexion, and the wrist is deviated toward the ulna. The rest of the patients physical exam is within normal limits. Which of the following is the best next step in management?? A: Radiography of the wrist, B: Thumb spica cast, C: Wrist guard to be worn during work and at night, D: Repositioning of the wrist while cycling, E: Rest and ibuprofen,  <response>: This is a clinical vignette about a 25-year-old woman presenting with wrist pain that started 1 week ago. Important history includes:- Recently gave birth - Fell and broke fall with outstretched arm- Works as accountant, types 8 hours per day- Competitive cyclist, started rigorous training since giving birth - Hypothyroidism on levothyroxine- Pain reproduced with thumb flexion and wrist deviation towards ulnaBased on the history and physical exam findings, this patient likely has De Quervains tenosynovitis. The pain is reproduced with Finkelsteins test. De Quervains tenosynovitis is inflammation of the tendons on the thumb side of the wrist, often associated with overuse from repetitive wrist and thumb motions. The best next step in management would be conservative treatment with rest, activity modification to avoid exacerbating motions, NSAIDs, and possibly splinting. Imaging is not required given typical clinical presentation. Immobilization with casting or rigid splinting is too aggressive as an initial measure. Cycling modifications may help but are not the most appropriate first-line treatment. E: Rest and ibuprofen 