Question

A 35-year-old with a 5‑mm distal ureteral stone and well‑controlled pain asks about expectant management. No infection or renal failure. What is the best adjunct?

Accepted Answer

Tamsulosin as medical expulsive therapy

Answer

Phenazopyridine as expulsive therapy

Answer

High‑dose NSAIDs around-the-clock for 30 days

Answer

Empiric antibiotics for 14 days

Answer

Immediate ureteroscopic extraction for all stones

Practice question

A 35-year-old with a 5‑mm distal ureteral stone and well‑controlled pain asks about expectant management. No infection or renal failure. What is the best adjunct?