<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 54-year-old man comes to the physician for a follow-up examination. One week ago, he was treated in the emergency department for chest pain, palpitations, and dyspnea. As part of his regimen, he was started on a medication that irreversibly inhibits the synthesis of thromboxane A2 and prostaglandins. Which of the following is the most likely adverse effect of this medication?? A: Chronic rhinosinusitis, B: Acute interstitial nephritis, C: Gout attack, D: Tinnitus, E: Gastrointestinal hemorrhage,  <response>: This is a clinical vignette about a 54-year-old man who was recently treated for chest pain, palpitations, and dyspnea. He was started on a medication that irreversibly inhibits thromboxane A2 and prostaglandin synthesis. This medication is likely an NSAID like aspirin. NSAIDs can have several adverse effects, but the one most commonly associated with irreversible inhibition of prostaglandin synthesis is gastrointestinal bleeding.E: Gastrointestinal hemorrhage 