<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 54-year-old African American man presents to the clinic for his first annual well-check. He was unemployed for years but recently received health insurance from a new job. He reports feeling healthy and has no complaints. His blood pressure is 15790 mmHg, pulse is 86min, and respirations are 12min. Routine urinalysis demonstrated a mild increase in albumin and creatinine. What medication is indicated at this time?? A: Amlodipine, B: Furosemide, C: Hydrochlorothiazide, D: Lisinopril, E: Metoprolol,  <response>: This is a question about choosing the appropriate medication for a 54-year-old African American man with newly diagnosed hypertension and early signs of kidney disease on urinalysis. The key findings are the elevated blood pressure of 15790 mmHg and the urinalysis showing increased albumin and creatinine. Hypertension in African Americans often requires combination therapy to achieve blood pressure control. An ACE inhibitor or ARB is indicated as first-line treatment for hypertension and also helps protect the kidneys. The mild albuminuria and increased creatinine on urinalysis indicate early kidney disease, which further supports use of an ACE inhibitor or ARB.Of the choices given, lisinopril is an ACE inhibitor and would be the most appropriate medication to start for this patient. Amlodipine is a calcium channel blocker and would not be first-line. Furosemide and hydrochlorothiazide are diuretics and would not be optimal initial therapy. Metoprolol is a beta blocker which also would not be the best first choice.D: Lisinopril 