Renal Calculi and Management · NCLEX Exam

For a patient with a large renal calculus >20 mm in the lower pole of the kidney, current guidelines recommend which procedure as most appropriate?

  1. Observation only
  2. ESWL as first-line
  3. PCNL as first-line
  4. Dietary management alone
Show answer and explanation

Correct answer: PCNL as first-line

Guidelines recommend PCNL as first-line for renal calculi >20 mm for improved stone-free rates.

Difficulty: Medium Question 5 of 20

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