A 44-year-old woman presents for her annual well exam.

A 44-year-old woman presents for her annual well exam. She is overweight with a body mass index of 31 kg/m2. Her weight over the past year has remained stable. She has a history of hypertension, depression, and obstructive sleep apnea. When discussing her family history, she reports her oldest sister, age 62, was recently diagnosed with breast cancer. She has no other breast cancer in her family history. She does not feel any lumps in her breast but states she would like a mammogram to be sure she does not have breast cancer. Which of the following is the best response to her request for a screening mammogram? “Insurance likely will not cover the cost” “It is important we send you for the genetic breast test” “Screening mammograms are not indicated for women under age 50” “That is reasonable with your sister’s recent diagnosis”

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