<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 31-year-old woman is brought to the emergency department for a severe throbbing headache, nausea, and photophobia for 3 hours. She has severe occipital pain and chest tightness. Prior to onset of symptoms, she had attended a networking event where she had red wine and, shortly after, a snack consisting of salami and some dried fruits. The patient has recurrent migraine headaches and depression, for which she takes medication daily. She is mildly distressed, diaphoretic, and her face is flushed. Her temperature is 37.0C 98.6 F, pulse is 90min, respirations are 20min, and blood pressure is 195130 mmHg. She is alert and oriented. Deep-tendon reflexes are 2 bilaterally. This patients symptoms are most likely caused by a side effect of which of the following medications?? A: Ibuprofen, B: Verapamil, C: Phenelzine, D: Topiramate, E: Valproic acid,  <response>: This is a clinical vignette describing a 31-year-old woman presenting to the emergency department with a severe throbbing headache, nausea, photophobia, occipital pain, and chest tightness. She has a history of recurrent migraine headaches and depression, for which she takes daily medication. The key findings on exam are mild distress, diaphoresis, flushed face, elevated blood pressure, and normal neurological exam. Based on the acute onset of severe headache with associated symptoms of nausea, photophobia, and neurological exam findings, this presentation is most consistent with migraine headache. The history of recurrent migraines and depression along with daily medication use suggests she takes a prophylactic migraine andor antidepressant medication. Of the medication options, phenelzine is a monoamine oxidase inhibitor MAOI antidepressant which can cause hypertensive crisis reactions when taken concurrently with foods high in tyramine like aged cheeses and cured meats. The patients snack of salami prior to symptom onset makes phenelzine the most likely causative agent.C: Phenelzine 