Which of the following patients of a primary care nurse practitioner would not require extra screening for cancer?

Which of the following patients of a primary care nurse practitioner would not require extra screening for cancer?

Which of the following patients of a primary care nurse practitioner would not require extra screening for cancer?A 51-year-old woman whose grandmother died of breast cancerA 48-year-old man who takes immunosuppressant drugs following a kidney transplantA 50-year-old male who is obese and has a low-fiber, high-fat dietA 38-year-old female with Down syndrome and congenital scoliosis