We need more details to answer this but... It says to write a paragraph based on what you see. Use what you learned in class to write it.
If you need me to write the paragraph, I can, but I need to know what you learned in school to do that...
Answer:
The answer is 1) Como
Explanation:
That would make the sentence:
Como esta usted, senora Mancebo?
or in english:
How are you, Ms. Mancebo?