Which finding would prompt consideration of BMD testing regardless of age?

• A. Regular physical activity
• B. Presence of fragility fracture such as hip or vertebral
• C. Normal BMI
• D. History of high-impact fracture

Answer: (B)

A fragility fracture signals osteoporosis and prompts bone mineral density testing regardless of age. When a fracture occurs from minimal trauma—such as a fall from standing height—in hip or spine, it shows the bones are weak and at high risk of further fractures. This finding directly warrants assessing bone density to diagnose osteoporosis and guide treatment, since the fracture itself is evidence of compromised bone strength. Regular physical activity can help bone health but doesn’t by itself trigger testing, a normal BMI isn’t a testing indication, and a high‑energy (high‑impact) fracture doesn’t automatically reflect osteoporosis, so it isn’t the reason to test.