<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 43-year-old woman presents to her primary care physician for a general wellness appointment. The patient states that sometimes she has headaches and is ashamed of her body habitus. Otherwise, the patient has no complaints. The patients 90-year-old mother recently died of breast cancer. The patient smokes 1 pack of cigarettes per day. She drinks 2-3 glasses of red wine per day with dinner. She has been considering having a child as she has just been promoted to a position that gives her more time off and a greater income. The patients current medications include lisinopril, metformin, and a progesterone intrauterine device IUD. On physical exam, you note a normal S1 and S2 heart sound. Pulmonary exam is clear to auscultation bilaterally. The patients abdominal, musculoskeletal, and neurological exams are within normal limits. The patient is concerned about her risk for breast cancer and asks what she can do to reduce her chance of getting this disease. Which of the following is the best recommendation for this patient?? A: Switch to oral contraceptive pills for contraception, B: Begin breastfeeding, C: Test for BRCA1 and 2, D: Recommend monthly self breast exams, E: Exercise and reduce alcohol intake,  <response>: This is a question about reducing the risk of breast cancer in a 43-year-old woman. The patient has a family history of breast cancer in her mother, and is concerned about her own risk. Relevant factors include that she smokes, drinks alcohol regularly, uses an IUD for contraception, and is overweight. To reduce her breast cancer risk, stopping smoking and reducing alcohol intake would be beneficial. Oral contraceptives slightly increase breast cancer risk, so switching contraception methods is not recommended. Breastfeeding and BRCA testing are not relevant for this patient. Recommending monthly self breast exams is reasonable, but reducing modifiable risk factors like smoking and alcohol should take priority.E: Exercise and reduce alcohol intake 