Soru

A 66-year-old woman visits her primary care physician for a comprehensive health evaluation. She feels well and reports no new symptoms. Her past medical history is notable for well-controlled hypothyroidism. Socially, she consumed one pack of cigarettes daily from age 18 to 48 but has strictly abstained from smoking for the past 18 years. Her mother was diagnosed with breast cancer at age 72. A review of her preventive health records reveals a completely normal screening colonoscopy at age 61, a normal bone dual-energy x-ray absorptiometry scan at age 65, and a normal screening mammogram at age 64. Her most recent cervical Papanicolaou smear with human papillomavirus co-testing was performed at age 64 and was negative; records confirm consistently negative cervical screening results over the preceding twenty years. She received a tetanus, diphtheria, and acellular pertussis (Tdap) booster three years ago and completed the recombinant zoster vaccine two-dose series at age 50. She has never received a pneumococcal vaccination. During the visit, she expresses anxiety regarding a friend's recent lung cancer diagnosis and asks, "Can we please do a CT scan of my lungs today to make sure they are clear?" Which of the following is the most appropriate preventive care plan for this patient?