<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 67-year-old man comes to the clinic for establishment of care. He recently retired and moved to Florida with his wife. His past medical history includes hypertension, diabetes, chronic back pain, and hyperlipidemia. According to the patient, he takes lisinopril, metformin, atorvastatin, acetaminophen, and methadone. His previous doctor prescribed methadone for breakthrough pain as he has been having more severe pain episodes due to the recent move. He is currently out of his methadone and asks for a refill on the prescription. A physical examination is unremarkable except for mild lower extremity edema bilaterally and diffuse lower back pain upon palpation. What is the best initial step in the management of this patient?? A: Assess the patients pain medication history, B: Encourage the patient to switch to duloxetine, C: Inform the patient that methadone is not the best option and do not prescribe, D: Prescribe a limited dose of methadone for breakthrough back pain, E: Refer the patient to a pain management clinic,  <response>: This is a patient with chronic back pain who is requesting a refill on his methadone prescription for breakthrough pain. The key factors to consider are his age, comorbidities of hypertension, diabetes, and hyperlipidemia, use of methadone which can be concerning in this population, and lack of prior relationship with this provider. The provider needs to carefully evaluate the appropriateness and safety of methadone in this patient before deciding on the prescription. Obtaining a more thorough history of his pain management is prudent.A: Assess the patients pain medication history 