it's a PEMDAS question

A
You do The equation inside parenthesis first, which comes out to 11.
Next, you multiply 4 and the sum of the parenthesis, Giving 44.
Lastly, Add 44 and 9, which is 53.
Always remember to follow PEMDAS - parenthesis, exponents, multiplication, division, addition, and subtraction!
Your answer would be, A. 53. First you would solve within the parenthesis. 5+6 equals 11. The you would multiply 4 by 11, making it 44. Lastly, you would add nine to 44, to get 53. In conclusion, you're answer is A. Hope that helped! :)