Chapter 046 : Evaluation and Medical Management of Urinary Lithiasis

chapter-046-evaluation-and-medical-management-of-urinary-lithiasis

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Patients with enteric hyperoxaluria are most likely to form stones composed of:

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The risk factor most associated with recurrent stone formation in patients with inflammatory bowel disease is:

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Hypocitraturia in patients with inflammatory bowel disease or chronic diarrhea syndrome is due to:

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The optimum treatment for patients with enteric hyperoxaluria includes:

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The most important factor predisposing patients to gouty diathesis is:

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The initial laboratory test that provides the most important diagnostic clue in patients with uric acid calculi is:

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The most appropriate medical treatment of a patient with gouty diathesis is:

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A patient with recurrent uric acid calculi is placed on oral medical treatment and returns for follow-up 3 months later. He is noted to have significantly elevated urinary uric acid levels as compared with his first 24-hour urine collection. This finding is due to:

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A patient with uric acid calculi is placed on alkali therapy but returns 1 year later having passed two calcium phosphate stones. A repeat 24-hour urine demonstrates a urine pH of 7.4, a urinary citrate of 450â•¯mg/day, and a urinary uric acid of 875â•¯mg/day. The most likely cause for recurrent stone formation is:

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A patient with gouty diathesis is started on sodium bicarbonate therapy, and urinary pH is maintained between 6.3 and 6.7. Calcium oxalate stones may form due to:

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A 58-year-old Hispanic female with a history of recurrent urinary tract infections treated three to four times in the past 18 months is seen by her family physician. At present she is asymptomatiShe has no history of nephrolithiasis. Renal ultrasound demonstrates moderate left hydronephrosis and a large density within the renal pelvis with posterior shadowing. A kidney-ureter-bladder (KUB) view with tomography reveals a poorly opacified dendritic stone in the renal pelvis and lower pole calyces. Prior urine cultures have Proteus and Klebsiella species. The stone composition of this patient is most likely:

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The most significant factor contributing to stone formation in patients with struvite calculi is:

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The most common cause of recurrent stone disease in a patient having undergone “sandwich” therapy for a staghorn calculus is:

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Chapter 046 : Evaluation and Medical Management of Urinary Lithiasis

Question 1 of 1

Time Left

Patients with enteric hyperoxaluria are most likely to form stones composed of:

Select the correct answer(s).

(0/0)

The risk factor most associated with recurrent stone formation in patients with inflammatory bowel disease is:

Select the correct answer(s).

(0/0)

Hypocitraturia in patients with inflammatory bowel disease or chronic diarrhea syndrome is due to:

Select the correct answer(s).

(0/0)

The optimum treatment for patients with enteric hyperoxaluria includes:

Select the correct answer(s).

(0/0)

The most important factor predisposing patients to gouty diathesis is:

Select the correct answer(s).

(0/0)

The initial laboratory test that provides the most important diagnostic clue in patients with uric acid calculi is:

Select the correct answer(s).

(0/0)

The most appropriate medical treatment of a patient with gouty diathesis is:

Select the correct answer(s).

(0/0)

A patient with recurrent uric acid calculi is placed on oral medical treatment and returns for follow-up 3 months later. He is noted to have significantly elevated urinary uric acid levels as compared with his first 24-hour urine collection. This finding is due to:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

A patient with gouty diathesis is started on sodium bicarbonate therapy, and urinary pH is maintained between 6.3 and 6.7. Calcium oxalate stones may form due to:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

The most significant factor contributing to stone formation in patients with struvite calculi is:

Select the correct answer(s).

(0/0)

The most common cause of recurrent stone disease in a patient having undergone “sandwich” therapy for a staghorn calculus is:

Select the correct answer(s).

(0/0)

Which of the following treatments is contraindicated for patients with recurrent struvite calculi?

Select the correct answer(s).

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Acetohydroxamic acid contributes to reducing infection stone formation by:

Select the correct answer(s).

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