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April 12, 2024

A 56-year-old man presents to your office for his annual physical. He has a 10-year history of well-controlled hypertension

A 56-year-old man presents to your office for his annual physical. He has a 10-year history of well-controlled hypertension and hyperlipidemia and reports a 16-year history of smoking two packs per day. He reports no daily alcohol use. His medications include daily lisinopril, atorvastatin, and a low-dose aspirin. He has no pertinent family history, and his physical examination is unremarkable. He reports he had a routine screening colonoscopy 2 months ago. You review his records and note he had a prostate-specific antigen (PSA) level of 1.8 ng/mL 1 year ago. What would be the most appropriate next step in the management of age-appropriate screening for this patient? Obtain a serum prostate-specific antigen level for prostate cancer screening Order a low-dose CT scan of the chest for lung cancer screening Order a testicular ultrasound for testicular cancer screening Perform a digital rectal examination for prostate cancer screening

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