<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 35-year-old woman presents with increased anxiety and a reeling sensation. Her complaint started 30 minutes ago with increased sweating and palpitations and is gradually worsening. On examination, the blood pressure was found to be 194114 mm Hg. She had normal blood pressure at the local pharmacy 5 days ago. She currently works as an event manager and her job involves a lot of stress. The family history is significant for thyroid carcinoma in her father. Which of the following is most likely in this person?? A: Increased urine metanephrines, B: Decreased hemoglobin, C: Decreased TSH levels, D: Decreased C-peptide, E: Increased serum serotonin,  <response>: This is a clinical vignette describing a 35-year-old woman with acute onset anxiety, palpitations, sweating, and high blood pressure. The key findings are:- Acute onset of symptoms 30 minutes ago- Anxiety, palpitations, sweating - suggestive of adrenergic excess- High blood pressure 194114 mmHg compared to normal 5 days ago- Stressful job- Family history of thyroid cancerThis presentation is most consistent with a pheochromocytoma, which is a tumor of the adrenal medulla that secretes excessive catecholamines like norepinephrine and epinephrine. This leads to episodic hypertension, anxiety, palpitations, and sweating. Choice A Increased urine metanephrines is the best answer, as this is the most sensitive test for diagnosing pheochromocytoma. The other choices are unrelated to the clinical vignette.A: Increased urine metanephrines 