A 36-year-old woman presents to the clinic for her annual visit. She is sexually active

A 36-year-old woman presents to the clinic for her annual visit. She is sexually active and has no children. Her medications include oral contraceptive pills and a daily multivitamin. Her menses are regular, with mild cramps. She does not smoke tobacco or drink alcohol. Her family history is significant for ovarian cancer in her mother, who was diagnosed at age 45. Physical examination, including bimanual examination, results are normal. She asks the clinician about ovarian cancer screening. Which of the following would be the most appropriate recommendation for this patient? A. Annual Pap smear B. Genetic counseling C. Annual transvaginal ultrasound D. Annual CA-125

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