<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 32-year-old nulliparous woman with polycystic ovary syndrome comes to the physician for a pelvic examination and Pap smear. Last year she had a progestin-releasing intrauterine device placed. Menarche occurred at the age of 10 years. She became sexually active at the age of 14 years. Her mother had breast cancer at the age of 51 years. She is 165 cm 5 ft 5 in tall and weighs 79 kg 174 lb; BMI is 29 kgm2. Examination shows mild facial acne. A Pap smear shows high-grade cervical intraepithelial neoplasia. Which of the following is this patients strongest predisposing factor for developing this condition?? A: Early onset of sexual activity, B: Obesity, C: Early menarche, D: Family history of cancer, E: Polycystic ovary syndrome,  <response>: This is a multiple choice question asking about the strongest predisposing factor for developing high-grade cervical intraepithelial neoplasia in a 32-year-old woman. The relevant information given includes early onset of menarche at age 10, early onset of sexual activity at age 14, obesity with a BMI of 29, family history of breast cancer, and diagnosis of polycystic ovary syndrome. Of these factors, the earliest onset of sexual activity at age 14 is the strongest predisposing factor for developing this cervical condition. A: Early onset of sexual activity 