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!
Learning videos
Flashcards
Expert reviewed
Spaced Repetition
Mobile app
Custom Quizzes
1 of 4
A 66-year-old man presents to the emergency department for evaluation of acute onset right flank pain, hematuria, and vomiting for the past 10 hours. The patient has a past medical history of obesity, hypertension, and diabetes. Temperature is 37°C (98.6°F), blood pressure is 155/75 mm Hg, heart rate is 111/min, respiratory rate is 18/min, and oxygen saturation is 98% on room air. The patient appears uncomfortable. Physical exam reveals right-sided flank tenderness. He is started on IV normal saline, IV ketorolac, and ondansetron. A CBC and BMP are pending. Urinalysis findings are shown below. A non-contrast helical CT scan of the abdomen and pelvis shows a 6.5 mm obstructing stone in the mid-ureter on the right side. Which of the following is the best next step in management?
| Laboratory value | Result | Reference |
| Urinalysis | ||
| Color | Clear | Clear |
| Specific gravity | 1.013 | 1.002-1.028 |
| Glucose | Negative | Negative |
| Blood | Large | Negative |
| Leukocyte esterase | Negative | Negative |
| Nitrites | Negative | Negative |
| Leukocytes | 1-2/hpf | <5/hpf |
| Erythrocytes | 25-50/hpf | <5/hpf |
| Bacteria | None seen | None |
| Dysmorphic RBCs | Absent | Absent |
| Casts | None | None |
Elimination tool
0 XP
Press space to continue