Sam is 19 years old and is coming in for a pap smear. She has had 3 sexual partners in her lifetime. She is having some vaginal discharge. What would you do in today's visit?

1) tell her that she does not need a pap until age 21, but do a pelvic exam and test her for STDs.
2) tell her that she does not need a pelvic exam or STD testing until age 21.
3) tell her that she should go to the ER.
4) do a pap test in office today to look for cervical cancer as well as STD testing