Preventive Care And Screening Practice Test

History & Lifestyle: 70-year-old man with hypertension for routine follow-up. • Meds: metoprolol and lisinopril; adherent. • BMI 27; eats balanced diet. • Quit smoking 30 years ago; 10 pack-years total. Family History: Noncontributory. Preventive Care Review: Received PCV13 years ago; no PPSV23 or PCV20 documented. No immunocompromising conditions or cochlear implant.

What is the next best step in preventive care for this patient?

History & Lifestyle: 50-year-old man for preventive visit. • Smokes 1 pack/day; sedentary; BMI 32. • No history of diabetes; last glucose unknown. Family History: Mother with type 2 diabetes; father MI at 57. Preventive Care Review: BP 136/88. No labs in years. He asks about diabetes screening. No symptoms of hyperglycemia.

Based on the vignette, which screening test is recommended for this patient?