Well-patient care (geriatrics) Quiz: Ace Your Exams

An 85-year-old man presents to a new primary care physician for a routine wellness examination. The patient states he has been well since his last visit several years ago, and he has no new medical issues. The patient has a history of hypertension, hyperlipidemia, coronary artery disease, and diabetes for which he takes amlodipine, carvedilol, aspirin, clopidogrel, and metformin daily. He has no other significant medical or surgical history. There is no family history of colon cancer. He received all childhood vaccinations, and his last vaccine was a Tdap administered 6 years ago after he cut his index finger with a kitchen knife. The patient does not drink alcohol and smoked for 5 years when he was in his 30’s. He lives with his partner and has no issues performing activities of daily living. He has no sexual concerns and no urinary incontinence. He eats a diet of lean protein, fruits, vegetables, and healthy carbohydrates. The patient does approximately 30-60 minutes of light exercise daily. Temperature is 37°C (98.6°F), blood pressure is 132/70 mmHg, heart rate is 76 beats per minute, respiratory rate is 14 breaths per minute, and oxygen saturation is 98% on room air. Body mass index (BMI) is 25 kg/m². The patient is well appearing, and a full physical examination is unremarkable. Which of the following is the best next step in management?