diff --git a/src/components/records/__tests__/screening-hints-card.test.tsx b/src/components/records/__tests__/screening-hints-card.test.tsx
new file mode 100644
index 000000000..029817595
--- /dev/null
+++ b/src/components/records/__tests__/screening-hints-card.test.tsx
@@ -0,0 +1,76 @@
+import { describe, expect, it } from "vitest";
+import { renderToStaticMarkup } from "react-dom/server";
+import { QueryClient, QueryClientProvider } from "@tanstack/react-query";
+
+import { ScreeningHintsCard } from "@/components/records/screening-hints-card";
+import { I18nProvider } from "@/lib/i18n/context";
+import type { LifeCircumstancesDto } from "@/lib/profile/life-circumstances";
+import type { ScreeningHint } from "@/lib/profile/life-derived";
+import { queryKeys } from "@/lib/query-keys";
+
+function hint(
+  id: ScreeningHint["id"],
+  status: ScreeningHint["status"],
+): ScreeningHint {
+  return {
+    id,
+    status,
+    reasonKeys: [],
+    region: "DE",
+    sourceLabel: "source",
+    sourceUrl: "https://example.org/",
+  };
+}
+
+function render(tobaccoFacts: number, hints: ScreeningHint[]): string {
+  const dto = {
+    sections: [
+      {
+        key: "tobacco",
+        facts: Array.from({ length: tobaccoFacts }, () => ({})),
+      },
+    ],
+    derived: { screeningHints: hints },
+  } as unknown as LifeCircumstancesDto;
+  const client = new QueryClient();
+  client.setQueryData(queryKeys.lifeCircumstances(), dto);
+  return renderToStaticMarkup(
+    <QueryClientProvider client={client}>
+      <I18nProvider initialLocale="en">
+        <ScreeningHintsCard />
+      </I18nProvider>
+    </QueryClientProvider>,
+  );
+}
+
+describe("ScreeningHintsCard", () => {
+  it("stays away while nothing applies and smoking is unanswered", () => {
+    expect(
+      render(0, [
+        hint("lung_ldct", "unknown"),
+        hint("aaa_ultrasound", "not_eligible"),
+      ]),
+    ).toBe("");
+  });
+
+  // The German abdominal-aorta ultrasound applies to every man from 65,
+  // whether he ever smoked or not: the hint must reach him without a
+  // smoking answer.
+  it("shows a hint that applies without a smoking answer", () => {
+    const html = render(0, [
+      hint("lung_ldct", "unknown"),
+      hint("aaa_ultrasound", "suggested"),
+    ]);
+    expect(html).toContain('data-slot="screening-hints-card"');
+    expect(html).toContain('data-slot="screening-hint-aaa_ultrasound"');
+  });
+
+  it("shows once smoking is answered", () => {
+    expect(
+      render(1, [
+        hint("lung_ldct", "not_eligible"),
+        hint("aaa_ultrasound", "not_eligible"),
+      ]),
+    ).toContain('data-slot="screening-hints-card"');
+  });
+});
diff --git a/src/components/records/screening-hints-card.tsx b/src/components/records/screening-hints-card.tsx
index e470a4bd4..76b7859c1 100644
--- a/src/components/records/screening-hints-card.tsx
+++ b/src/components/records/screening-hints-card.tsx
@@ -7,8 +7,10 @@
  * source and country. A hint, never a reminder: nothing is scheduled here,
  * and the card says so. Resolved on the server; rendered as delivered.
  *
- * The card stays away until the person has said something about smoking,
- * because every hint would otherwise read "not enough information".
+ * The card stays away until it has something to say: the person has said
+ * something about smoking, or a hint already applies without it (the German
+ * abdominal-aorta ultrasound is offered to every man from 65, smoker or not).
+ * Before either, every hint would read "not enough information".
  */
 import { useQuery } from "@tanstack/react-query";
 import { Stethoscope } from "lucide-react";
@@ -29,7 +31,12 @@ export function ScreeningHintsCard() {
   });
   const data = query.data;
   const tobacco = data?.sections.find((section) => section.key === "tobacco");
-  if (!data || !tobacco || tobacco.facts.length === 0) return null;
+  if (!data) return null;
+  const answeredTobacco = (tobacco?.facts.length ?? 0) > 0;
+  const anySuggested = data.derived.screeningHints.some(
+    (hint) => hint.status === "suggested",
+  );
+  if (!answeredTobacco && !anySuggested) return null;
 
   return (
     <SettingsCard data-slot="screening-hints-card">