<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 40-year-old G1P0010 presents to the clinic with nausea and vomiting 8 weeks after a spontaneous abortion at 10 weeks gestation. She admits to heavy drinking 78 glasses of wine per day for the last 20 years; however, after the pregnancy loss, she increased her drinking to 89 glasses per day. Hepatomegaly, right upper quadrant pain, and jaundice are noted on abdominal examination. The lungs are clear to auscultation with no abnormalities on chest X-ray. Liver function tests are obtained and a biopsy is performed. Which of the following findings is most likely to be true in her condition?? A: NADHNAD; AST:ALT 2:1; ß-oxidation ; ß-hydroxybutyrate ; lactic acid , B: NADNADH; ALT:AST 2:1; ß-oxidation ; ß-hydroxybutyrate, no change; lactic acid , C: NADHNAD; ALT:AST 2:1; ß-oxidation ; ß-hydroxybutyrate ; lactic acid , D: NADNADH; AST:ALT 2:1; ß-oxidation ; ß-hydroxybutyrate ; lactic acid , E: NADHNAD; ALT:AST 2:1; ß-oxidation ; ß-hydroxybutyrate ; lactic acid ,  <response>: This is a question about alcoholic liver disease. The key findings in the stem are a history of long-term heavy alcohol use, hepatomegaly, right upper quadrant pain, and jaundice. This suggests alcoholic liver disease. The question asks about likely lab findings. In alcoholic liver disease, the AST:ALT ratio is typically 2:1, as alcohol dehydrogenase in the liver causes more AST than ALT to be released. Alcohol inhibits beta-oxidation and leads to fat accumulation in the liver. This increases NADH relative to NAD. Lactic acidosis can occur due to impaired liver metabolism. Beta-hydroxybutyrate may be increased as fatty acid oxidation is impaired.A: NADHNAD; AST:ALT 2:1; ß-oxidation ; ß-hydroxybutyrate ; lactic acid 