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Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 92 Topic 10 Discussion

Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 92 Topic 10 Discussion

MCCQE Exam Topic 10 Question 92 Discussion:
Question #: 92
Topic #: 10

A 25-year-old woman presents to the Emergency Department with a 4-hour history of severe left flank pain. Her vital signs are as follows:

Heart rate: 94/min

Blood pressure: 130/80 mm Hg

Temperature: 37.3 °C

A non-contrast computed tomography shows a 6 mm stone in the distal left ureter with mild associated hydronephrosis. In addition to appropriate analgesia, which one of the following is the best next step?


A.

Provide reassurance


B.

Prescribe antibiotics


C.

Administer an alpha blocker


D.

Refer for urology consultation


E.

Increase intravenous fluids


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