<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 15-year-old girl is brought in by her parents to her pediatrician with concerns that their daughter still has not had her first menstrual cycle. The parents report that the patient has had no developmental issues in the past. She was born full term by vaginal delivery and has met all other milestones growing up. Based on chart review, the patient demonstrated breast bud development at 10 years of age. The patient is not self conscious of her appearance but is concerned that something may be wrong since she has not yet had her first period. The patients temperature is 97.9F 36.6C, blood pressure is 11670 mmHg, pulse is 66min, and respirations are 12min. On exam, the patient appears her stated age and is of normal stature. She has Tanner 5 breast development but Tanner 2 pubic hair. On gynecologic exam, external genitalia appears normal, but the vagina ends in a blind pouch. Lab studies demonstrate that the patient has elevated levels of testosterone, estrogen, and luteinizing hormone. Which of the following is the most likely karyotype for this patient?? A: 45, XO, B: 46, XX, C: 46, XY, D: 47, XXY, E: 47, XYY,  <response>: This is a question about a 15-year-old girl who has not had her first menstrual period yet. The key findings in the stem are:- No menstrual period yet- Normal development otherwise - Tanner stage 5 breast development but only 2 pubic hair- Blind ending vagina on exam - Elevated testosterone, estrogen, and LHBased on the lack of menstruation, blind ending vagina, and hormonal profile, this patient likely has a disorder of sexual development. The karyotype that is most consistent with these findings is 46,XY, which indicates the presence of a Y chromosome and male pseudohermaphroditism.C: 46, XY 