A 52-year-old woman establishes care at a primary care clinic for a comprehensive wellness evaluation. She has a past medical history of essential hypertension that is well controlled on amlodipine. She currently smokes half a pack of cigarettes daily and has a 15-pack-year smoking history. She has no history of intravenous drug use, blood transfusions, or high-risk sexual behavior. A review of her lifelong medical records reveals that she has never undergone screening for hepatitis C. Her last screening colonoscopy at age 45 was normal. A screening mammogram performed 6 months ago was normal. Cervical cytology with high-risk human papillomavirus (hrHPV) co-testing was performed 3 years ago and was negative. She received a tetanus, diphtheria, and acellular pertussis (Tdap) booster 4 years ago and had an influenza vaccine last month. Physical examination is unremarkable. Her body mass index is 26 kg/m². Based on current guidelines, which of the following preventive interventions are indicated for this patient during today's visit? (Select all that apply)
- Recombinant zoster vaccinationCevap
- Hepatitis C virus antibody testingCevap
- CLow-dose computed tomography of the chest
- DDual-energy x-ray absorptiometry scan
- ECervical cytology with human papillomavirus co-testing