[Solved]: A 55-year-old Caucasian woman, new to your…

A 55-year-old Caucasian woman, new to your practice, presents for an “annual physical examination.” She reports that she is very healthy, generally feels well. For this patient, how often should a Pap smear be performed? has no specific complaints. She has a history of having had a total hysterectomy, by which she means that her uterus, cervix, ovaries, and fallopian tubes were removed. The surgery was performed because of fibroids. She has had a Pap smear every three years since the age of 21 all of which have been normal. She has had an annual mammogram since the age of 50, all of which have been normal. She has no significant medical or surgical history. She takes a multivitamin pill daily, but no other medications. Her family history is significant for breast cancer that was diagnosed in her maternal grandmother at the age of 72. The patient is married, monogamous, and does not smoke cigarettes or drink alcohol. She tries to avoid dairy products because of “lactose intolerance.” She walks 30 minutes a day, five times a week for exercise. Her physical examination is normal.