question: Q:A 36 year-old woman presents to the doctor’s office for evaluation of substernal chest pain and a metallic taste in her mouth. The patient has a history of metabolic syndrome and hypothyroidism. She takes levothyroxine daily. The patient’s vital signs are currently stable. On examination, she appears to be in mild discomfort, but is alert and oriented. The abdomen is mildly tender to palpation without guarding. Which of the following is the most appropriate treatment choice based on her history and physical examination?? 
  {'A': 'Omeprazole', 'B': 'Ranitidine', 'C': 'Bismuth subsalicylate', 'D': 'Magnesium hydroxide', 'E': 'Metoclopramide'},