<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 45-year-old obese woman presents to the office complaining of intermittent chest pain for the past 3 days. She states that the pain worsens when she lays down and after she eats her meals. She thinks that she has experienced similar pain before but does not remember it lasting this long. She also complains of a bitter taste in her mouth but is otherwise in no apparent distress. She has a history of asthma, a partial hysterectomy 4 years ago, and hypothyroidism that was diagnosed 7 years ago. She admits to drinking 56 cans of beer on weekend nights. Her blood pressure is 13090 mm Hg, and her heart rate is 105min. An ECG is performed that shows no abnormal findings. Which of the following is the most likely cause of her pain?? A: Erosion of the mucosa of the antrum of the stomach, B: Autodigestion of pancreatic tissue, C: Blockage of the cystic duct leading to inflammation of the wall of the gallbladder, D: An atherosclerotic blockage of a coronary artery causing transient ischemia during times of increased cardiac demand, E: Decreased lower esophageal sphincter tone,  <response>: This is a clinical case question asking about the most likely cause of intermittent chest pain in a 45-year-old obese woman with a history of asthma, partial hysterectomy, hypothyroidism, and weekend alcohol use. The key findings in the stem are:- 45-year-old obese woman - Intermittent chest pain for 3 days, worsens when lying down and after meals- History of similar pain episodes - Bitter taste in mouth- History of asthma, partial hysterectomy, hypothyroidism- Weekend alcohol use- Vital signs: BP 13090, HR 105- Normal ECGThe choices include gastric, pancreatic, biliary, cardiac, and esophageal etiologies. Based on the clinical presentation, the intermittent nature of the pain, relation to position and meals, and bitter taste, the most likely diagnosis is gastroesophageal reflux disease GERD caused by decreased lower esophageal sphincter tone. The other choices are less likely based on the clinical history provided.E: Decreased lower esophageal sphincter tone 