A 61-year-old former smoker has a 1‑cm ureteral stone with refractory colic and hydronephrosis persisting after 2 weeks of medical expulsive therapy. ...

Question

A 61-year-old former smoker has a 1‑cm ureteral stone with refractory colic and hydronephrosis persisting after 2 weeks of medical expulsive therapy. What is recommended?

Accepted Answer

Ureteroscopy for definitive management

Answer

Continue observation for 4 more weeks

Answer

Begin allopurinol

Answer

ESWL contraindicated; no intervention

Answer

Start antibiotics long‑term

us-abim MCQ (SBA): Ureteral Stone-Failed MET

A 61-year-old former smoker has a 1‑cm ureteral stone with refractory colic and hydronephrosis persisting after 2 weeks of medical expulsive therapy. What is recommended?