Q. A 16-year-old girl is brought to the physician’s office by her mother for intermenstrual spotting for 2 months. The spotting is minimal and it presents as a red small streak on her pantyliner. She doesn’t have abdominal pain or abnormal vaginal discharge. Her menstrual periods are regular and occur every 30 days. Her last menstrual period is a week ago. She is sexually active with her boyfriend for the past 1 year and they use condoms regularly. She is not using any drugs. Her temperature is 98.6°F (37°C), pulse is 80/min, blood pressure is 110/80 mmHg, and respirations are 14/min. On pelvic examination, the periphery of the cervix has a bright reddish appearance similar to granulation tissue. It readily bleeds on touch. The rest of the examination is unremarkable. Pregnancy tests are negative. What is the most likely diagnosis for this patient?

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