<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 16-year-old girl comes to her primary care physician for an annual check-up. She has no specific complaints. Her medical history is significant for asthma. She uses an albuterol inhaler as needed. She has no notable surgical history. Her mom had breast cancer and her grandfather died of colon cancer. She received all her childhood scheduled vaccinations up to age 8. She reports that she is doing well in school but hates math. She is sexually active with her boyfriend. They use condoms consistently, and they both tested negative recently for gonorrhea, chlamydia, syphilis and human immunodeficiency virus. She asks about birth control. In addition to educating the patient on her options for contraception, which of the following is the best next step in management?? A: Cytology and human papilloma virus HPV testing now and then every 3 years, B: Cytology and HPV testing now and then every 5 years, C: Cytology now and then every 3 years, D: No HPV-related screening as the patient is low risk, E: No HPV-related screening and administer HPV vaccine,  <response>: This is a question about preventive health screening for a 16-year-old female patient. The key information in the stem is that she is sexually active, so screening for sexually transmitted infections and cervical cancer are relevant. Her family history of breast and colon cancer in first-degree relatives is notable. The answer choices focus on HPV and cervical cancer screening. Since she is sexually active, HPV screening is appropriate. The USPSTF recommends cytology Pap smear every 3 years starting at age 21, so this would not be indicated yet. HPV vaccination is recommended for all adolescents and young adults up to age 26 if not previously vaccinated. E: No HPV-related screening and administer HPV vaccine 