Female Gynecologic History And Physical (H&P) Practice Test

Bone density testing is used in this age range when there are factors that raise the risk of osteoporosis or fragility fractures, rather than screening everyone automatically. A family history of hip fracture signals a genetic predisposition to weaker bones and higher fracture risk, so DEXA is indicated. Smoking also contributes to lower bone density and greater fracture risk, making screening appropriate. Chronic steroid use is a well-known cause of osteoporosis because it suppresses bone formation and can increase fracture risk, which is another reason to screen. In contrast, high body weight is not a risk factor that prompts DEXA screening in this group; excess weight tends to be associated with higher bone density and is not used as a trigger for screening in 50–64-year-old women.