A 34-Year-Old Man Comes to the Office for a Routine

A 34-year-old man comes to the office for a routine preventive visit.  He has had low back pain intermittently for the past 2 months and believes he injured his back while exercising at the gym.  The patient has taken naproxen as needed and says that the pain is slowly improving.  He has no fevers, focal weakness, or bowel or bladder difficulties.  The patient has a 20-pack-year smoking history.  His father was diagnosed with prostate cancer at age 66, and his mother had a myocardial infarction at age 59.
Vital signs, weight, and physical examination are unremarkable.  The patient is interested in improving his health and asks if he should be screened for any other diseases.
Which of the following is the most appropriate screening test for this patient?

A) Hemoglobin A1c
B) Lipid panel
C) Low-dose helical CT scanning
D) No further testing is necessary
E) Prostate-specific antigen

Correct Answer:

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