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Ureteral calculus — MCCQE Part 1 MCQ

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EasyFlank PainUreteral calculusMCCQE Part 1

A 32-year-old woman has right flank pain radiating to groin, nausea, haematuria. CT: 4 mm stone in right distal ureter, no hydronephrosis. Temp 36.8, normal creatinine. Most appropriate management?

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Correct answer: C — Conservative management with analgesics, hydration, and tamsulosin

Stones <=5 mm: >90% spontaneous passage. Conservative management with NSAIDs, hydration, tamsulosin. Urgent intervention for infection, bilateral obstruction, solitary kidney, or intractable symptoms.

Reference: CUA Urolithiasis Guidelines