A -year-old woman presents to the clinic for a routine health maintenance examination. She feels well and reports no new symptoms, specifically denying any vaginal bleeding, weight loss, or changes in bowel habits. Her medical history is significant for well-controlled hypertension and a bilateral tubal ligation at age . She smoked packs of cigarettes daily for years but successfully quit years ago. Her family history is notable for her father dying of a ruptured abdominal aortic aneurysm at age , and her mother being diagnosed with colon cancer at age . Her most recent preventive screenings include a normal colonoscopy at age , a normal Pap smear with negative human papillomavirus co-testing at age , and a normal mammogram months ago. Her body mass index is . Which of the following is the most appropriate next step in this patient's preventive care today?
- ADual-energy x-ray absorptiometry
- Low-dose chest computed tomographyCevap
- CLive-attenuated influenza vaccine
- DHuman papillomavirus co-testing
- EEndometrial biopsy