<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 32-year-old Caucasian female is admitted to the emergency department with a 48-hour history of severe and diffuse abdominal pain, nausea, vomiting, and constipation. Her personal history is unremarkable except for an ectopic pregnancy 5 years ago. Upon admission, she is found to have a blood pressure of 12060 mm Hg, a pulse of 105min, a respiratory rate 20min, and a body temperature of 37C 98.6F. She has diffuse abdominal tenderness, hypoactive bowel sounds, and mild distention on examination of her abdomen. Rectal and pelvic examination findings are normal. An abdominal plain film of the patient is given. What is the most likely cause of this patients condition?? A: Malrotation, B: Hernia, C: Adhesions, D: Enlarged Peyers plaques, E: Gastrointestinal malignancy,  <response>: Based on the information provided in the question stem, the key findings are: - 32 year old female with severe abdominal pain, nausea, vomiting and constipation for 48 hours- History of ectopic pregnancy 5 years ago- Vital signs: BP 12060, pulse 105, temp 37C - Physical exam shows diffuse abdominal tenderness, hypoactive bowel sounds, mild distention- Normal rectal and pelvic exam- Abdominal X-ray providedThe acute onset of symptoms in a young female with prior history of ectopic pregnancy and abdominal findings on exam are most consistent with a bowel obstruction. The abdominal X-ray would help confirm this. The choices provided include various causes of bowel obstruction. Based on the clinical history and presentation, the most likely cause would be adhesions from her prior ectopic pregnancy surgery.C: Adhesions 