<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 28-year-old man comes to the physician for the evaluation of a progressively worsening tremor in his hands and multiple falls over the past 3 months. The tremor occurs both at rest and with movement. He also reports decreased concentration and a loss of interest in his normal activities over this time period. He has no history of serious medical illness and takes no medications. He drinks two alcoholic beverages daily and does not use illicit drugs. Vital signs are within normal limits. Physical exam shows mild jaundice, a flapping tremor, and a broad-based gait. Serum studies show:Aspartate aminotransferase 554 ULHepatitis B surface antibody positiveHepatitis B surface antigen negativeCeruloplasmin 5.5 mgdL normal: 19.0-31.0 mgdLWhich of the following is the most appropriate pharmacotherapy for this patient?? A: Tenofovir, B: Prednisolone, C: Levodopa, D: Deferoxamine, E: Penicillamine,  <response>: This is a patient with a tremor, decreased concentration, loss of interest in activities, jaundice, and abnormal lab results including elevated AST, positive Hep B antibody, negative Hep B antigen, and low ceruloplasmin. This clinical presentation is most consistent with Wilsons disease, which is caused by abnormal copper metabolism and deposition in tissues like the liver and brain. The low ceruloplasmin and presence of liver disease with neurological symptoms confirm the diagnosis. The goal of treatment is to reduce copper levels. Prednisolone treats inflammation and would not help with the copper overload. Tenofovir treats hepatitis B, which the patient does not have active infection of based on negative surface antigen. Levodopa treats Parkinsonian symptoms but does not address the underlying copper overload. Deferoxamine binds iron and would not help remove excess copper. Penicillamine is a copper chelating agent and would be the most appropriate pharmacotherapy choice.E: Penicillamine 