A 60-year-old man comes to the physician for a health maintenance examination. He feels well and has no current complaints. He has a history of hypertension and mild hyperlipidemia, both of which are well-controlled with medication. He has no known history of cancer and is up to date on vaccinations. He reports smoking a pack of cigarettes daily from age 18 until now. He has not had any recent cough, weight loss, or hemoptysis. His last colonoscopy was at age 52 and was normal. He has no family history of colon, lung, or prostate cancer. BMI is 24. BP is 130/80. Which of the following is the most appropriate next step in preventive care for this patient?
A) Abdominal ultrasound
B) Colonoscopy
C) Fasting glucose testing
D) Low-dose CT of the chest
E) PSA testing
