Differentiate the purpose and structure of a periodic health visit from a…

Differentiate the purpose and structure of a periodic health visit from a problem-focused visit for a specific patient. Conduct an individualized risk assessment incorporating family history, personal history, occupational/environmental exposures, and lifestyle factors. Apply the USPSTF grading system (A, B, C, D, I) to specific screening decisions, with accurate rationale and a clear clinical action. Construct a complete preventive care plan spanning all core screening categories: cancer, cardiometabolic, bone health, immunizations, mental health/substance use, and interpersonal safety. New patient establishing primary care. No known chronic conditions. Father died of colon cancer at age 61. Smokes ¾ pack/day × 20 years. Drinks 3–4 beers most evenings. Works construction; inconsistent hearing/eye protection use. Sedentary outside of work. BP 148/92, HR 84, BMI 27.4 No regular PCP in 6+ years. No prior colonoscopy. Up to date on childhood immunizations only; unclear adult vaccination history.