<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 50-year-old man presents to his primary care physician with a chief complaint of chest pain that is squeezing in nature. He used to have similar symptoms in the past while playing tennis with his friends. Yesterday, while moving furniture in his new home, he experienced this pain that lasted for 20 minutes and radiated towards his jaw and shoulder. He has been diagnosed with diabetes mellitus and hypertension for over 10 years and regularly takes his medications. The pain is not associated with nausea, vomiting, food intake, sweating, or cough. On physical examination, the patient is not in acute distress. His blood pressure is 13585 mm Hg, heart rate is 80min, respiratory rate is 16min, temperature is 36.9C 98.5F, and BMI is 30 kgm2. On physical examination, bilateral vesicular breath sounds are heard with absent chest tenderness. Cardiovascular examination reveals normal S1 and S2 without any abnormal sounds or murmur. Abdominal examination is within normal limit. What is the most likely cause of this patients condition?? A: GERD, B: Musculoskeletal pain, C: Rib fracture, D: Anxiety, E: Myocardial ischemia,  <response>: This is a question about chest pain in a 50-year-old man with a history of diabetes, hypertension, and similar pain in the past during exercise. The description of the pain as squeezing, lasting 20 minutes, radiating to the jaw and shoulder, and brought on by physical exertion are classic symptoms of angina and suggest myocardial ischemia as the likely diagnosis. GERD, musculoskeletal pain, rib fracture, and anxiety are less likely based on the character and duration of the pain and associated symptoms. The patients risk factors of diabetes, hypertension, age, and physical inactivity also increase his risk for coronary artery disease. E: Myocardial ischemia 