During a chart audit, a medical assistant must flag patients who meet U.S. Preventive Services Task Force criteria for routine osteoporosis screening with dual-energy X-ray absorptiometry (DEXA). Which patient should be scheduled for the test?
A 70-year-old female with well-controlled hypertension
A 44-year-old female smoker with regular menses
A 58-year-old postmenopausal female with body mass index 27 kg/m² and no additional risk factors
A 66-year-old male with diet-controlled hyperlipidemia
The USPSTF gives a B-grade recommendation to screen all women aged 65 years or older for osteoporosis using central DEXA, regardless of additional risk factors. None of the other listed patients meet that age-based threshold, and screening is not routinely recommended for men in this age range. Therefore, the 70-year-old female is the appropriate candidate.
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