<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 14-year-old girl presents to the pediatrician because she has not experienced the onset of menstruation. Her mother reports that her pubic hair developed at the age of 9 years. Her mother also informs that she has been experiencing recurrent serous otitis media since early childhood. The temperature is 36.8C 98.4F, pulse is 88min, blood pressure is 12878 mm Hg, and respiratory rate is 14min. The physical examination shows hypoplastic nails, along with short 4th and 5th metacarpals, and cubitus valgus bilaterally. In addition, the examination of her chest shows lack of breast development with widely spaced nipples. The auscultation of the chest reveals normal heart sounds with no murmur noted. The examination of the head and neck region shows a high arched palate, dental malocclusion, and a low hairline. Which of the following signs is most likely to be present on examination of her skin?? A: Acanthosis nigricans, B: Cutaneous angiomas, C: Elastosis perforans serpiginosa, D: Increased number of benign nevi, E: Xerosis,  <response>: This is a clinical vignette describing a 14-year-old girl with lack of breast development, widely spaced nipples, hypoplastic nails, short metacarpals, cubitus valgus, high arched palate, dental malocclusion, low hairline, and recurrent otitis media since childhood. The key finding is lack of breast development and pubertal delay in a 14-year-old girl. This, along with the other physical exam findings of cubitus valgus, high arched palate, and short metacarpals, point towards a diagnosis of Turner syndrome. Turner syndrome is associated with several skin findings, most notably an increased number of benign nevi. Therefore, the answer is likely choice D.Choices A, B, C, and E describe skin findings not typically associated with Turner syndrome.D: Increased number of benign nevi 