A 67-Year-Old Man Comes to the Office for a Preventive

A 67-year-old man comes to the office for a preventive examination.  He feels well and has no concerns aside from occasional pain in his knees.  Medical history is significant for hypertension and osteoarthritis, for which he takes chlorthalidone, lisinopril, and, occasionally, acetaminophen.  The patient has a 20-pack-year smoking history but quit 25 years ago.  His last colonoscopy 4 years ago was unremarkable.  He does not drink alcohol.  He is a retired plumber and lives with his wife in a retirement community.
Vital signs and physical examination show no abnormalities.
Which of the following is the most appropriate next step in management of this patient?

A) Abdominal ultrasound
B) Bone density testing
C) HIV testing
D) Low-dose CT scan of the chest
E) Transthoracic echocardiography

Correct Answer:

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