Which of the following is NOT a part of routine adult medical care?

Routine adult medical care typically encompasses a variety of assessments that monitor a patient's overall health and vital functions. Pain assessment, while crucial, is often considered a more specialized aspect of care rather than a routine measure. It is commonly evaluated in specific contexts, particularly when a patient presents with pain or is in a clinical situation that necessitates it.

On the other hand, tools like the Glasgow Coma Scale, blood pressure measurements, and advanced vital signs are standard practices used universally in medical settings to evaluate essential health indicators. The Glasgow Coma Scale helps assess a patient's level of consciousness, blood pressure is a fundamental vital sign indicating cardiovascular health, and advanced vital signs include additional parameters like heart rate and respiratory rate that provide a comprehensive view of a patient's physiological state.

In summary, while pain assessment is vital in particular situations, it does not fall under the category of routine assessments that are automatically conducted during regular adult medical check-ups, which explains why it is recognized as the option that is NOT a typical part of routine adult medical care.