Question

A 23-year-old woman comes to the clinic to establish care. She recently graduated from college and reports feeling well with no current health concerns. She is sexually active with a new male partner for the past two months. She uses oral contraceptives for pregnancy prevention, and the couple does not consistently use condoms. She denies any vaginal discharge, pelvic pain, dysuria, or genital lesions. Her past medical history is unremarkable. She received all standard childhood immunizations, including the human papillomavirus (HPV) vaccine series at age 11. Her last medical visit was at age 21, at which time a cervical cytology (Pap) test was performed and reported as normal. Vital signs are within normal limits. Physical examination reveals a normal-appearing cervix with no adnexal tenderness. Which of the following screening interventions is most appropriate for this patient today?