<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 31-year-old man presents with a several-month history of foot sensory changes. He has noticed that he has a hard time telling the difference between a hardwood floor and carpet beneath his feet. Hes also had a couple of falls lately; these falls were not preceded by any lightheadedness or palpitations. He is adopted, so his family history is unknown. On physical exam, he has leg and foot muscular atrophy and 45 strength throughout his bilateral lower extremities. Sensation to light touch and pinprick is decreased up to the mid-calf. Ankle jerk reflex is absent bilaterally. He has a significant pes cavus deformity of both feet. Nerve conduction studies show decreased conduction velocities in his bilateral peroneal nerves. Which of the following is the best treatment for this patient?? A: Aspirin, B: Cilostazol, C: Gabapentin, D: Referral to orthopedic surgery, E: Referral to physical therapy,  <response>: This is a patient with sensory and motor deficits in the lower extremities, particularly affecting the feet and ankles. The history and physical exam findings of muscular atrophy, weakness, decreased reflexes, and sensory changes are consistent with a peripheral neuropathy. The nerve conduction study results localize the lesion to the peroneal nerves. The pes cavus deformity and history of falls also point towards a peripheral neuropathy. Based on the localization to the peroneal nerves bilaterally, the most likely diagnosis is Charcot-Marie-Tooth disease, an inherited peripheral neuropathy that commonly affects the peroneal nerves. There are no medical treatments to reverse or cure CMT. The treatment focuses on symptom management, bracing for foot deformities, and physical therapy for gait training and fall prevention.E: Referral to physical therapy 