Review Question - QID 210633

A 49-year-old woman presents to her primary care physician for a routine health maintenance examination. She says that she is currently feeling well and has not noticed any acute changes in her health. She exercises 3 times a week and has tried to increase the amount of fruits and vegetables in her diet. She has smoked approximately 1 pack of cigarettes every 2 days for the last 20 years. Her last pap smear was performed 2 years ago, which was unremarkable. Her past medical history includes hypertension and type 2 diabetes. Her mother was diagnosed with breast cancer at 62 years of age. The patient is 5 ft 5 in (165.1 cm), weighs 185 lbs (84 kg), and has a BMI of 30.8 kg/m^2. Her blood pressure is 155/98 mmHg, pulse is 90/min, and respirations are 18/min. Physical examination is unremarkable. Lipid studies demonstrate an LDL cholesterol of 130 mg/dL and an HDL cholesterol of 42 mg/dL. Which of the following is the most appropriate next step in management?