Question

A 66-year-old woman comes to the clinic for a routine health maintenance examination. She feels well and has no acute complaints. Her medical history is notable for mild primary hypertension, which is well controlled on lisinopril. She does not use tobacco, alcohol, or illicit substances. She has been in a mutually monogamous relationship with her husband for 40 years.

Review of her medical records reveals the following:
- Screening mammography at age 65 was normal.
- Screening colonoscopy at age 60 showed no polyps.
- Dual-energy x-ray absorptiometry at age 65 showed normal bone mineral density.
- Cervical cancer screening via cytology and high-risk human papillomavirus (hrHPV) co-testing was performed at ages 59 and 64; both results were negative.
- She received the 20-valent pneumococcal conjugate vaccine (PCV20) at age 65.
- She received a two-dose series of the recombinant zoster vaccine at age 65.
- She received a Tdap booster at age 61.
- Medical records indicate she has never been screened for hepatitis C.

Vital signs and physical examination findings are within normal limits. Which of the following is the most appropriate next step in preventive care for this patient?