Given expression is
Recall that the order of operations is
1. Paratheses
2. Exponents.
3. Multiplication.
4. Division.
5. Addition.
6. Subtraction.
First, we need to solve inside the paratheses.
LCM of 4 and 2 is 4, making the denominator 4, we get
Second, we need to solve multiplication.
Multiply 3 and 6, we get
Multiply 4 and 1, we get
Third, we need to solve division.
Divide 4 into 4, we get
Fourth, we need to solve addition.
Add 1 and 18, we get
Hence the answer is 19.
Option A is correct.