Advanced Nephrolithiasis & Pyelonephritis OF A 33
YEAR OLD WOMAN Updated most Frequent Tested
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A 33-year-old female presents with sudden severe right flank pain radiating to the groin.
Which diagnosis is most likely?
A. Appendicitis
B. Nephrolithiasis
C. Cholecystitis
D. Gastritis
Answer: B. Nephrolithiasis
, Rationale: Sudden flank pain radiating to the groin is classic for renal calculi. The pain is
caused by ureteral obstruction and spasms.
Which symptom commonly accompanies renal calculi?
A. Productive cough
B. Hematuria
C. Hemoptysis
D. Bradycardia
Answer: B. Hematuria
Rationale: Stones irritate the urinary tract mucosa, often causing microscopic or gross
blood in the urine.
Which diagnostic study is considered the gold standard for kidney stone detection?
A. MRI abdomen
B. CT abdomen/pelvis without contrast
C. Chest X-ray
D. Colonoscopy
Answer: B. CT abdomen/pelvis without contrast
Rationale: Non-contrast CT scans accurately identify stone size, location, and
obstruction.
Which assessment finding is commonly present in pyelonephritis?
A. Neck rigidity
B. Costovertebral angle tenderness