Soru

A 54-year-old woman comes to the clinic for a periodic health maintenance examination. She has a history of type 2 diabetes mellitus, hypertension, and hyperlipidemia. Her current medications include metformin, lisinopril, amlodipine, and rosuvastatin. She underwent menopause at age 51 and has had no vaginal bleeding since that time. She does not use tobacco or alcohol. Her family history is unremarkable, with no known malignancies. Her last screening colonoscopy was performed at age 50 and was normal. Her last screening mammogram was performed at age 52 and was normal. Her last cervical cytology with human papillomavirus (HPV) co-testing was performed at age 50 and was normal. She received an intramuscular inactivated influenza vaccine 2 months ago and a Tdap booster 4 years ago. Vital signs show a blood pressure of 132/82 mm Hg, pulse of 76/min, and BMI of 34 kg/m². Which of the following is the most appropriate next step in this patient's preventive care?