Nephrolithiasis Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 68-year-old woman presents to the emergency department for evaluation of acute onset left back pain and hematuria. The patient states that since the early morning, she has been having intense pain in the left mid-back that comes in waves. She has no nausea or vomiting. Past medical history includes hypertension, for which she takes amlodipine. The patient is currently in pain. Urinalysis findings are shown below. Non-contrast helical CT scan of the abdomen and pelvis demonstrates a 2 mm obstructing stone mid-ureter on the left. Which of the following historical or physical exam findings would be most consistent with the underlying diagnosis?
| Laboratory value | Result |
| Urinalysis | |
| Color | Clear |
| Specific gravity | 1.013 |
| Glucose | Negative |
| Blood | Large |
| Leukocyte esterase | Negative |
| Nitrites | Negative |
| Leukocytes | 1-2/hpf |
| Erythrocytes | 25-50/hpf |
| Dysmorphic RBCs | Absent |
| Casts | None |
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