<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 51-year-old man presents to the emergency department with an episode of syncope. He was at a local farmers market when he fainted while picking produce. He rapidly returned to his baseline mental status and did not hit his head. The patient has a past medical history of diabetes and hypertension but is not currently taking any medications. His temperature is 97.5F 36.4C, blood pressure is 173101 mmHg, pulse is 82min, respirations are 14min, and oxygen saturation is 98 on room air. Physical exam is notable for clear breath sounds and a S4 heart sound. Rectal exam reveals a firm and nodular prostate that is non-tender and a fecal-occult sample that is negative for blood. Which of the following is this patients presentation most concerning for?? A: Benign prostatic hyperplasia, B: Normal physical exam, C: Prostate abscess, D: Prostate cancer, E: Prostatitis,  <response>: This is a clinical case scenario about a 51-year-old man who presented to the emergency department after an episode of syncope at a farmers market. The key findings in the history and physical exam include:- Syncope episode - Past medical history of diabetes and hypertension, not on medications currently- Vital signs showing hypertension - S4 heart sound on exam - Rectal exam showing firm, nodular prostate without tenderness- Negative fecal occult blood testThe syncope episode along with untreated hypertension suggests cardiovascular causes like arrhythmia or ischemia as most likely. The prostate exam findings of a firm, nodular prostate raise suspicion for prostate cancer. Benign prostatic hyperplasia typically presents with obstructive urinary symptoms and does not cause a nodular prostate on rectal exam. Prostatitis and prostate abscess would cause pain and tenderness on exam. Therefore, the presentation is most concerning for prostate cancer.D: Prostate cancer 