Final answer:
The most appropriate management is for the patient to continue with routine Pap smear screenings at this time, in line with the general guidelines of every three years, considering she has had normal previous Pap smears and completed the HPV vaccination.
Step-by-step explanation:
The most appropriate management for a 29-year-old female who is asymptomatic, had a normal Pap smear 3 years ago, and completed HPV vaccination at 26, is to undergo routine screening. Although general guidelines recommend Pap smears every three years until age 50, and then every five years until age 65, this patient has also completed her HPV vaccination which could impact the frequency of HPV testing.
Given the current recommendations, her next Pap smear would typically be due now, at the three-year mark. Since she is over the age of 25 and has been vaccinated, an HPV test could also be considered but generally, the first HPV test is recommended at age 30 unless there are other risk factors present.
Moreover, while HPV infections are common, vaccination can reduce the prevalence of certain high-risk strains. Therefore, regular screening remains important even in vaccinated individuals to monitor for potential cervical changes or infection with HPV strains not covered by the vaccine.