Soru

A 54-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 significant for hypertension and stage 3a chronic kidney disease secondary to hypertensive nephrosclerosis. Her current medications include lisinopril and amlodipine. She smoked 1 pack of cigarettes daily for 25 years but successfully quit 10 years ago. Her most recent screening colonoscopy was performed 9 years ago and revealed no polyps. She underwent a screening mammogram 1 year ago, which was normal. She received the two-dose recombinant zoster vaccine series 2 years ago, the annual influenza vaccine last month, and a Tdap booster 3 years ago. She has not received any other immunizations in adulthood. Vital signs are within normal limits. Physical examination is unremarkable. Which of the following interventions are indicated for this patient today? (Select all that apply)