An ambulatory care clinic evaluates a 54-year-old biological male for a routine health maintenance visit. His past medical history is notable for well-controlled type 2 diabetes mellitus and primary hypertension. The patient smoked one pack of cigarettes daily for 25 years but successfully quit 4 years ago. He does not consume alcohol or use recreational drugs. His immunizations are up to date, including a Tdap booster received 3 years ago and a complete two-dose series of the recombinant zoster vaccine administered at age 50. He has never received a pneumococcal vaccination. A review of his electronic medical record shows a screening colonoscopy performed at age 47 that revealed no polyps or abnormalities. He has no history of recent chest imaging or abdominal ultrasonography. He currently feels well and reports no new symptoms. Which of the following preventive interventions are indicated for this patient during today's visit? (Select all that apply)
- Annual screening with low-dose computed tomography of the chestCevap
- Administration of the 20-valent pneumococcal conjugate vaccineCevap
- CReferral for a screening colonoscopy
- DOne-time screening for abdominal aortic aneurysm with ultrasonography
- EScreening for osteoporosis with dual-energy x-ray absorptiometry