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Ureteric stone — MCCQE Part 1 MCQ

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ModerateBlood in UrineUreteric stoneMCCQE Part 1

A 37-year-old man presents with sudden severe left flank pain radiating to the groin and microscopic haematuria. He is afebrile, creatinine is normal and pain improves with ketorolac. Which of the following is the most appropriate management?

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Correct answer: D — Analgesia, hydration advice, non-contrast CT or ultrasound depending context, and outpatient follow-up if uncomplicated

Uncomplicated renal colic is managed with analgesia, confirmation of diagnosis and follow-up; NSAIDs are effective when renal function allows. Urgent decompression is needed for infected obstruction, solitary kidney obstruction, uncontrolled pain or renal failure, not every stone. Cancer therapy and nephrectomy are unrelated to this classic presentation.

Reference: Canadian Urological Association ureteral calculi guideline