Comprehensive and Detailed Explanation From Exact Extract:

The function K(s1, s2) outputs s1, followed by " and ", followed by s2. When called with K("sign", "horse"), it outputs "sign and horse". Calling it twice repeats this output. According to foundational programming principles, multiple function calls append their outputs in sequence unless specified otherwise (e.g., no newlines assumed unless explicit).

Single Call: K("sign", "horse") outputs "sign and horse".

Two Calls: The output is "sign and horse" followed by "sign and horse", resulting in "sign and horse sign and horse".

Option A: "sign and horse and sign and horse." This is incorrect. This suggests an extra "and" between the two outputs, which is not produced by the function.

Option B: "sign and horsesign and horse." This is incorrect. This implies no space between the two outputs, but typical output mechanisms (e.g., print in Python) may add spaces or newlines, and the space is explicit in the correct option.

Option C: "sign and horse." This is incorrect. This is the output of one call, not two.

Option D: "sign and horse." This is incorrect. Identical to C, it represents one call.

Option E: "sign and horse sign and horse." This is correct. It accurately represents the concatenated output of two calls: "sign and horse" twice.

Certiport Scripting and Programming Foundations Study Guide (Section on Functions and Output).

Python Documentation: “Print Function” (https://docs.python.org/3/library/functions.html#print).

W3Schools: “C Output” (https://www.w3schools.com/c/c_output.php).