Why is it necessary to evaluate a patient's fracture history before conducting a DXA scan?

• A. To assess their pain levels
• B. To determine their medication regimen
• C. To identify potential fracture risk
• D. To evaluate their nutritional intake

Answer: (C)

Evaluating a patient’s fracture history before conducting a DXA scan is crucial for identifying potential fracture risk. Understanding a patient’s past fractures can provide significant insight into their bone health and the likelihood of future fractures. A history of fractures often indicates weakened bone density and can be a clear sign of osteoporosis or other bone health issues.

In addition, knowing a patient’s specific types of fractures can help in assessing their risk factors and tailoring their management plan. For instance, non-traumatic fractures, especially in older adults, are often associated with lower bone mineral density levels. This historical context is vital for interpreting the DXA results accurately and ensuring that the patient receives appropriate care, including potential lifestyle modifications, medications, or further assessments based on their fracture risk.

While the other options could potentially influence a patient's overall health care, they do not directly impact the bone density measurement outcome or the interpretation of the DXA scan in the same crucial manner as assessing fracture history does.