<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 25-year-old man is brought to the emergency department by his girlfriend for a nosebleed. Pinching the nose for the past hour has not stopped the bleeding. For the past several months, he has had recurring nosebleeds that resolved with pressure. He has no history of hypertension or trauma. He has asthma that is well controlled with an albuterol inhaler. He has intermittent tension headaches for which he takes aspirin. His temperature is 37.9C 100.2F, pulse is 114min, and blood pressure is 160102 mm Hg. Physical examination shows active bleeding from both nostrils. Pupil size is 6 mm bilaterally in bright light. The lungs are clear to auscultation. The hemoglobin concentration is 13.5 gdL, prothrombin time is 12 seconds, partial thromboplastin time is 35 seconds, and platelet count is 345,000mm3. Which of the following is the most likely explanation for this patients symptoms?? A: Hypertension, B: Hereditary hemorrhagic telangiectasia, C: Adverse effect of medication, D: Cocaine use, E: Nasopharyngeal angiofibroman,  <response>: This is a clinical case about a 25-year-old man with recurrent nosebleeds. The key findings are:- Recurrent nosebleeds that temporarily resolve with pressure- No history of hypertension or trauma- Well-controlled asthma, takes albuterol - Intermittent tension headaches, takes aspirin- Vital signs show hypertension - Physical exam shows active bleeding from both nostrils- Pupils dilated - Labs are relatively normalThe differential diagnosis includes:- Hereditary hemorrhagic telangiectasia HHT: autosomal dominant disorder causing telangiectasias and arteriovenous malformations. Can cause recurrent nosebleeds. - Medication side effect: Aspirin can inhibit platelet function and prolong bleeding time. - Cocaine use: Causes vasoconstriction, tissue ischemia, and erosion of nasal mucosa. Pupil dilation supports this.- Hypertension: Can cause vascular fragility and epistaxis. - Nasopharyngeal angiofibroma: Benign vascular tumor seen in adolescent males. Less likely with normal labs.D: Cocaine use 