Calcium Stones Management
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Questions and Answers

What dietary advice is typically given to patients with calcium-based renal calculi?

  • Increase calcium intake
  • Increase protein intake
  • Restrict calcium intake (correct)
  • Limit sodium intake

For patients with uric acid stones, what type of diet is usually recommended to reduce the excretion of uric acid in the urine?

  • High-sodium diet
  • High-purine diet
  • Low-calcium diet
  • Low-protein diet (correct)

What is the impact of increasing fluid intake for patients with oxalate stones?

  • It reduces serum calcium levels
  • It increases urinary oxalate levels
  • It increases serum sodium levels
  • It reduces urinary oxalate levels (correct)

Which medication may be used to reduce serum uric acid levels and urinary uric acid excretion in patients with uric acid stones?

<p>Allopurinol (B)</p> Signup and view all the answers

What is the dietary recommendation for patients with cystine stones?

<p>Low-protein diet (C)</p> Signup and view all the answers

What medication can be beneficial for patients with type 2 absorptive hypercalciuria and calcium-based renal calculi?

<p>Thiazide diuretics (D)</p> Signup and view all the answers

Which procedure involves visualizing the stone and then destroying it by inserting a laser, electrohydraulic lithotripter, or ultrasound device?

<p>Ureteroscopy (D)</p> Signup and view all the answers

Which intervention is commonly referred to as lithotripsy and is used to break up stones in the calyx of the kidney?

<p>Extracorporeal shock wave lithotripsy (ESWL) (B)</p> Signup and view all the answers

Which food mentioned in the text contains oxalate?

<p>Peanuts (D)</p> Signup and view all the answers

To keep the ureter patent after certain procedures, what may be inserted and left in place for 48 hours or more?

<p>Stent (C)</p> Signup and view all the answers

In ESWL, how are stones broken up?

<p>By shock wave (D)</p> Signup and view all the answers

Which procedure involves endoscopic or other interventions if complications occur or if the stone does not pass spontaneously?

<p>Endourologic (percutaneous) stone removal (A)</p> Signup and view all the answers

Why should table salt and high-sodium foods be reduced?

<p>To prevent competition with calcium for reabsorption in the kidneys (B)</p> Signup and view all the answers

What is a reason low-calcium diets are generally not recommended?

<p>To reduce the risk of osteoporosis and kidney stones (A)</p> Signup and view all the answers

Why is it important to limit calcium intake, especially in women?

<p>To increase the risk of osteoporosis (C)</p> Signup and view all the answers

Which of the following foods should be avoided to reduce oxalate intake?

<p>Spinach (D)</p> Signup and view all the answers

What is the recommended fluid intake for patients with renal calculi?

<p>8-10 glasses of water daily or IV fluids to keep urine dilute (B)</p> Signup and view all the answers

How often should fluids be consumed during the day to prevent urine from becoming concentrated at night?

<p>Every 1-2 hours (B)</p> Signup and view all the answers

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