A medical assistant is reviewing the health records of patients scheduled for routine examinations to identify those who should be referred for osteoporosis screening. Which patient's profile aligns BEST with the criteria for undergoing a DEXA scan according to current preventive health guidelines?
A 65-year-old male with controlled hyperthyroidism and no previous history of fractures
A 45-year-old female with hypertension and a recent history of falls, but no presenting fractures
A 58-year-old postmenopausal female with occasional alcohol use and a maternal history of hip fracture at age 85
A 70-year-old female with a history of smoking and a sedentary lifestyle
According to the U.S Preventive Services Task Force, osteoporosis screening with a DEXA scan is recommended for women aged 65 years or older and younger women at increased risk for fractures. The female patient aged 70 with a history of smoking and sedentary lifestyle represents the profile aligned most closely with these guidelines. Smoking and lack of physical activity are both risk factors that contribute to bone loss and fracture risk, which alongside her age, make her the best candidate for screening.
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