<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 59-year-old man comes to the emergency department because of progressively worsening chest pain and nausea that started while visiting a local bar 30 minutes ago. The pain radiates to the epigastric area. He has a 10-year history of untreated hypertension. He has smoked 1 pack of cigarettes daily for 35 years. The patient is diaphoretic and in marked distress. His pulse is 94min, respirations are 28min, and blood pressure is 16192 mm Hg. Pulse oximetry on 2 Lmin of oxygen via nasal cannula shows an oxygen saturation of 97. Cardiac examination shows a regular heartbeat and a systolic ejection murmur heard best over the upper right sternal border. The lungs are clear to auscultation bilaterally. Pedal pulses are intact. An ECG shows inverted T waves in leads I, avL, and V5-6. Urine toxicology screening is positive for cocaine. Which of the following drugs is contraindicated in the management of this patients condition?? A: Propranolol, B: Diazepam, C: Prasugrel, D: Diltiazem, E: Aspirinn,  <response>: This is a clinical case scenario about a 59-year-old man with chest pain, nausea, hypertension, and a history of smoking who tests positive for cocaine use. He is tachycardic and hypertensive on exam. The ECG shows inverted T waves concerning for ischemia. The question asks which drug is contraindicated in managing this patients condition. Based on the clinical picture, the patient is likely experiencing an acute coronary syndrome triggered by cocaine use. Cocaine can cause coronary vasospasm and acute myocardial infarction. The contraindicated drug in this scenario would be a beta blocker like propranolol because beta blockade can exacerbate cocaine-induced coronary vasospasm. Calcium channel blockers like diltiazem would be preferred for rate control in cocaine-associated chest pain. Aspirin and prasugrel are indicated as antiplatelet agents. Diazepam could be used cautiously for anxiety.A: Propranolol 