Soru

An initial primary care evaluation is conducted for a 55-year-old biological female who recently relocated to the area. Her medical background is notable for type 1 diabetes mellitus complicated by end-stage renal disease, requiring hemodialysis three times weekly. She actively smokes and has a 30 pack-year smoking history. Surgically, she underwent a total abdominal hysterectomy ten years ago for symptomatic uterine fibroids. Her preventive care records indicate her last screening mammogram occurred three years ago, and her most recent screening colonoscopy, performed five years ago, was entirely normal. She has not received any vaccinations during the past decade. The patient is compliant with her medications and dialysis regimen. Vital signs and physical examination reveal no acute abnormalities. Which of the following preventive interventions are indicated for this patient today? (Select all that apply)