<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 is brought to the physician after she accidentally cut her right forearm earlier that morning while working with her mothers embroidery scissors. She has no history of serious illness. The mother says she went to elementary and middle school abroad and is not sure if she received all of her childhood vaccinations. She appears healthy. Her temperature is 37C 98.6 F, pulse 90min, and blood pressure is 10268 mm Hg. Examination shows a clean 2-cm laceration on her right forearm with surrounding edema. There is no erythema or discharge. The wound is irrigated with water and washed with soap. Which of the following is the most appropriate next step in management?? A: Administer DTaP only, B: Intravenous metronidazole, C: Administer Tdap only, D: Administer TIG only, E: No further steps are necessary,  <response>: This is a clinical vignette about a 14-year-old girl who sustained a laceration on her right forearm. The key points are:- 14 years old - Accidentally cut her right forearm - Clean 2cm laceration with surrounding edema but no signs of infection- Uncertain vaccination history as she went to school abroad - Otherwise healthyThe question asks about the most appropriate next step in management. Based on the information provided, the main consideration is updating her tetanus vaccination status given her uncertain vaccination history and sustaining a wound that could potentially cause tetanus infection. Choices A and C refer to tetanus vaccines - DTaP is given in childhood while Tdap is given later in life. Since she is 14 years old, Tdap would be most appropriate. Choice B refers to an antibiotic for infection which is not indicated in this clean wound. Choice D refers to tetanus immune globulin which is not first line for a clean minor wound. Choice E suggests no further steps are needed, which is incorrect given the need to update tetanus vaccination.C: Administer Tdap only 