<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 34-year-old woman comes to the physician with fever and malaise. For the past 2 days, she has felt fatigued and weak and has had chills. Last night, she had a temperature of 40.8C 104.2F. She has also had difficulty swallowing since this morning. The patient was recently diagnosed with Graves disease and started on methimazole. She appears uncomfortable. Her temperature is 38.3C 100.9F, pulse is 95min, and blood pressure is 13474 mm Hg. The oropharynx is erythematous without exudate. The lungs are clear to auscultation. Laboratory studies show:Hematocrit 42Hemoglobin 13.4 gdLLeukocyte count 3,200mm3Segmented neutrophils 9Basophils 1Eosinophils 1Lymphocytes 79Monocytes 11Platelet count 230,000mm3Which of the following is the most appropriate next step in management?? A: Bone marrow biopsy, B: Discontinue methimazole, C: Switch to propylthiouracil, D: Test for EBV, HIV, and CMV, E: Decrease methimazole dose,  <response>: This is a clinical vignette about a 34-year-old woman with Graves disease recently started on methimazole who now presents with fever, malaise, fatigue, weakness, chills, difficulty swallowing, and lab results showing leukopenia with lymphocytosis. The key findings are:- Recent diagnosis of Graves disease and start of methimazole an antithyroid medication- New onset of fever, malaise, fatigue, weakness, chills - suggestive of an infection- Dysphagia - could indicate esophagitis- Leukopenia with lymphocytosis in labs - suggests possible methimazole-induced agranulocytosisThe answer choices provide different management options:A Bone marrow biopsy - to evaluate for aplasia or hypoplasiaB Discontinue methimazole - stop the likely causative agentC Switch to propylthiouracil - change to an alternative antithyroid medicationD Test for EBV, HIV, CMV - evaluate for viral infectionsE Decrease methimazole dose - reduce causative agentBased on the clinical presentation and lab results, methimazole-induced agranulocytosis seems most likely. Therefore, the best next step would be to discontinue the methimazole.B: Discontinue methimazole 