HESI MCA I Complete Practice Test 2026

A pathologic fracture is the best way to document this. When bone is weakened by disease like osteoporosis, it can fracture with little or no trauma. Spontaneity of the hip fracture in an osteoporotic patient points to a fracture that occurred through diseased bone, not from a typical injury. So note it as a suspected pathologic fracture of the hip due to osteoporosis, with imaging pending to confirm. This is not an open fracture (no wound described), not a greenstick fracture (occurs mainly in children as an incomplete fracture), and fracture orientation (like oblique) doesn’t capture the underlying cause of the fracture in this scenario.