Soru

An initial ambulatory care visit is conducted for a 76-year-old male patient who recently relocated to the area to live with his family. He reports feeling well without any acute clinical symptoms. His past medical history is significant for essential hypertension, hyperlipidemia, and mild osteoarthritis. His daily medication regimen consists of lisinopril, atorvastatin, and as-needed acetaminophen. He reports a continuous smoking history of one pack per day starting at age 18 and ending at age 56, maintaining complete abstinence since that time. He denies any lifetime alcohol consumption or recreational drug use. Previous cancer surveillance includes a structurally normal colonoscopy performed 5 years ago at age 71. A detailed review of his state immunization registry and transferred medical records shows the administration of a tetanus-diphtheria-acellular pertussis (Tdap) booster 2 years ago, a seasonal influenza vaccine 2 weeks ago, and a complete two-dose series of the recombinant zoster vaccine at age 66. He has no documented history of receiving a pneumococcal immunization, a respiratory syncytial virus (RSV) immunization, or any serological screening for viral hepatitis. Vital signs are within normal limits, and the physical examination is completely unremarkable.

Based on current evidence-based guidelines, which of the following preventive health interventions should be ordered or administered for this patient today? (Select all that apply.)