<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 29-year-old woman presents to the clinic regularly with her young daughter and complains that ever since her last delivery 5 years ago, she has been having intermittent light vaginal bleeding. She has seen several doctors so far and even some specialist doctors. Her menstrual history also appears to be variable. Physical examination is within normal limits. Her urine analysis always seems to have 10 RBCshpf. Which of the following is the most likely diagnosis?? A: Munchausen disorder with a primary gain, B: Malingering disorder with a secondary gain, C: Factitious disorder with a primary gain, D: Factitious disorder with a secondary gain, E: Factitious disorder by proxy,  <response>: This is a clinical vignette describing a 29-year-old woman with intermittent vaginal bleeding since her last delivery 5 years ago. The key findings are light vaginal bleeding, variable menstrual history, and 10 RBCshpf on urine analysis. The question asks to identify the most likely diagnosis from the choices provided, which are different types of factitious disorders. Based on the history and physical exam findings, there is no evidence to suggest factitious disorder or malingering. The presence of vaginal bleeding and RBCs in the urine point towards a gynecological or urinary cause. The variability in menstrual history also suggests an underlying gynecological disorder.C: Factitious disorder with a primary gain 