A 56-Year-Old Man Comes to the Office for a Routine

A 56-year-old man comes to the office for a routine preventive visit.  He works as a welder on an oil rig and currently feels well.  The patient has a history of hypertension and hyperlipidemia, which are well controlled with oral medications.  He has smoked a pack of cigarettes daily since age 14 and has been unable to quit despite repeated attempts.  The patient drinks alcohol socially and does not use illicit drugs.  His father died due to complications of Alzheimer disease, and his mother died from ovarian cancer.  Screening colonoscopy at age 52 revealed a 0.5-cm hyperplastic polyp.  Vital signs are within normal limits.  Physical examination shows no abnormalities.  Which of the following screening tests is recommended for this patient?

A) Abdominal ultrasonography
B) Bone mineral density measurement
C) Colonoscopy
D) Low-dose CT scan of the chest
E) No additional screening required

Correct Answer:

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