The Pap smear of a 19-year-old female college soccer player contains koilocytotic cells. The disease associated with the appearance of the cells could most likely have been prevented by previous administration of a(n)

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Koilocytotic cells have enlarged nuclei and cytoplasmic vacuoles are produced from HPV-infected epithelial cells. The Gardasil vaccine employed to prevent HPV genital disease is a recombinant quadrivalent vaccine containing viruslike particles of types 6, 11, 16, and 18 HPV.

The Pap Smear of a 19-Year-Old Female College Soccer Player