A 55-year-old Caucasian G2P2 presents for her well-woman examination. She had two uneventful vaginal deliveries. Her last menstrual period was 2 years ago. She has occasional night sweats, but they are not bothersome. Her medical history is significant for hypothyroidism, which is well controlled on medication. She does not take any other medicines. She does not use tobacco, alcohol, or drugs. Her family history is significant for stroke, diabetes, and high blood pressure. On examination she is a pleasant female, stands 5 ft 6 in tall, and weighs 115 lbs. Her blood pressure is 130/72 mm Hg, pulse 70 beats per minute, respiratory rate 14 breaths per minute, and temperature 37°C (98.4°F). Her breast, lung, cardiac, abdomen, and pelvic examinations are normal.
Which of the following aspects of her history would be an indication to order bone mineral density screening?
A. She has been in menopause for 2 yearsThe patient meets criteria for screening based on her low body weight. Bone mineral density screening should be started at the age of 65 years in most women. Postmenopausal women with risk factors may require screening earlier if any of these risk factors are present: prior osteoporotic fracture, body weight less than 127 pounds, medications or diseases that cause bone loss, parental medical history of a hip fracture, current smoker, alcoholism, or rheumatoid arthritis.