<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 12-year-old girl is brought to the physician for a follow-up examination. Two months ago, she was diagnosed with asthma and treatment was begun with an albuterol inhaler as needed. Since then, she has had episodic chest tightness and cough 23 times per week. The cough is intermittent and nonproductive; it is worse at night. She has been otherwise healthy and takes no other medications. Her vital signs are within normal limits. Pulmonary examination shows mild expiratory wheezing of all lung fields. Spirometry shows an FEV1:FVC ratio of 81 and an FEV1 of 80 of predicted; FEV1 rises to 93 of predicted after administration of a short-acting bronchodilator. Treatment with low-dose inhaled beclomethasone is begun. The patient is at greatest risk for which of the following adverse effects?? A: Oropharyngeal candidiasis, B: Bradycardia, C: High-pitched voice, D: Easy bruisability, E: Hypoglycemia,  <response>: This is a multiple choice question asking about the adverse effects of inhaled beclomethasone, a corticosteroid, in a 12-year-old girl with asthma. The patients history and exam findings are consistent with mild persistent asthma that is not well-controlled with an albuterol inhaler alone. Low-dose inhaled beclomethasone is an appropriate step-up treatment. The question asks about the adverse effect this patient is at greatest risk for. Choice A, oropharyngeal candidiasis, is a common local adverse effect of inhaled corticosteroids like beclomethasone due to localized immunosuppression. This is likely the greatest risk in this patient.Choice B, bradycardia, is not a typical adverse effect of inhaled corticosteroids. Choice C, high-pitched voice, can occur with systemic absorption of inhaled corticosteroids, but is less likely with low-dose therapy.Choice D, easy bruisability, is a systemic adverse effect unlikely with low-dose inhaled therapy.Choice E, hypoglycemia, is not an expected adverse effect of inhaled corticosteroids.Therefore, based on the analysis, choice A is most likely the correct answer.A: Oropharyngeal candidiasis 