<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 9-year-old girl is brought to the emergency room by her parents with severe shortness of breath, cough, and wheezing after playing with her friends in the garden. She has a history of bronchial asthma. Her vital signs are as follows: respiratory rate 39min, pulse 121min, blood pressure 12967 mm Hg, and temperature 37.2C 99F. On physical exam, she looks confused and has bilateral diffuse wheezes on chest auscultation. Which of the following is the most appropriate drug to rapidly reverse her respiratory distress?? A: Inhaled cromolyn, B: Intravenous propranolol, C: Inhaled beclomethasone, D: Inhaled albuterol, E: Oral montelukast,  <response>: This is a clinical vignette describing a 9-year-old girl with acute exacerbation of asthma. She presents with respiratory distress characterized by shortness of breath, cough, wheezing, tachypnea, tachycardia, and diffuse wheezes on exam. Her history of asthma and clinical presentation are consistent with an asthma exacerbation. The question asks for the most appropriate drug to rapidly reverse her respiratory distress. Based on the acute presentation, a fast-acting bronchodilator is needed to relax bronchial smooth muscle and open airways. Cromolyn is a prophylactic anti-inflammatory medication, propranolol is a beta blocker that would be contraindicated, beclomethasone is an inhaled steroid which has a slower onset, and montelukast is a leukotriene inhibitor which also has a slower onset. Albuterol is a rapid-acting beta-2 agonist bronchodilator that can quickly reverse bronchospasm in an acute asthma exacerbation.D: Inhaled albuterol 