<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 19-year-old woman presents for a sports physical. She says he feels healthy and has no concerns. Past medical history is significant for depression and seasonal allergies. Current medications are fluoxetine and oral estrogenprogesterone contraceptive pills. Family history is significant for a sister with polycystic ovarian syndrome PCOS. The patient denies current or past use of alcohol, recreational drugs, or smoking. She reports that she has been on oral birth control pills since age 14 and uses condoms inconsistently. No history of STDs. She is sexually active with her current boyfriend, who was treated for chlamydia 2 years ago. She received and completed the HPV vaccination series starting at age 11. Her vital signs include: temperature 36.8C 98.2F, pulse 97min, respiratory rate 16min, blood pressure 12075 mm Hg. Physical examination is unremarkable. Which of the following are the recommended guidelines for cervical cancer screening for this patient at this time?? A: Cytology pap smear annually, B: Cytology pap smear every 3 years, C: Cytology pap smear and HPV DNA co-testing every 5 years, D: No cervical cancer screening is indicated at this time, E: Cytology pap smear and HPV DNA co-testing every 3 years,  <response>: This is a question about cervical cancer screening guidelines for a 19-year-old woman. Relevant information from the stem includes:- 19 years old - Sexually active since age 14- Inconsistent condom use- Oral contraceptive use since age 14- Boyfriend treated for chlamydia 2 years ago- Completed HPV vaccination series starting at age 11- Unremarkable physical examThe key factors are the patients age 19 years old and HPV vaccination history full series started at age 11. Current guidelines state that women who have completed the HPV vaccine series and have no history of abnormal pap smears can start cervical cancer screening at age 21, with cytology alone every 3 years. More frequent screening or co-testing is not indicated in this low-risk patient.D: No cervical cancer screening is indicated at this time 