Question
Question 1.1 A 60-year-old man has been diagnosed with renal calculi after repeated episodes
of excruciating flank pain in recent weeks. The man states, “I don't know how this could
happen to me, since I'm so careful about eating a healthy diet.” What is the most appropriate
response to the man's statement? (Points : 3)
“Your diet may have played a part in this, but in fact genetics is likely primarily to blame.”
“What you eat can influence your risk of stone formation, but many other factors like
hormones and your metabolism are involved.”
“You likely don't need to change your diet, but now that you have stones in one kidney,
you're at very high risk of growing them in the other kidney.”
“Your diet might be normally healthy, but high intake of normally beneficial minerals like
calcium and magnesium can lead to stones.”
Question 2.2. An 87-year-old male resident of an assisted living facility has been consistently
continent of urine until the last several weeks. Which of the following actions by the care
providers at the facility is the most likely priority? (Points : 3)
Performing a physical examination and history to determine the exact cause and character of
the incontinence
Providing patient education focusing on the fact that occasional incontinence is a normal,
age-related change
Teaching the resident about protective pads, collection devices, and medications that may be
effective