HESI Osteoporosis Case Study Practice Test

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Why is an elderly patient with osteoporosis at higher risk for a hip fracture after a minor fall?

Because they have normal bone density.

Significantly reduced bone density and frailty increase susceptibility to fractures from low-energy trauma.

In osteoporosis, bones lose density and become much more fragile. When an elderly person with this condition experiences a minor fall, the force from that low-energy event can exceed the weakened bone’s strength, leading to a hip fracture. Frailty—reduced muscle strength, balance problems, and slower reaction times—also increases both the likelihood of falling and the chance that such a fall results in a fracture. That’s why significantly reduced bone density together with frailty best explains the higher risk after a minor fall. The other ideas don’t fit: normal bone density wouldn’t predispose to fractures, age doesn’t protect against dislocations, and bone size doesn’t account for the fracture risk seen with osteoporosis.

Because age provides better protection against dislocations.

Because they have larger bones.

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