Question

An independent 68-year-old woman visits the clinic to establish care and discuss her health maintenance. Her past medical history includes well-controlled essential hypertension and primary hypothyroidism. She consumed one pack of cigarettes daily for 25 years but successfully abstained from tobacco starting 12 years ago. Family history is notable for her mother passing away from ovarian cancer at age 72. Review of her medical records reveals a normal colonoscopy at age 64, a normal bilateral mammogram 11 months ago, and negative cervical cytology with negative high-risk HPV testing at age 63. She has documented consecutive negative cervical cancer screenings over the preceding two decades. A bone mineral density evaluation performed at age 65 demonstrated a T-score of -0.4 at the lumbar spine. Which of the following is the most appropriate next step in this patient's preventive care?