Renal Calculi and Management · NCLEX Exam

How does management differ between stones <10 mm and >20 mm in size?

  1. Spontaneous passage likely for <10 mm; diet only for >20 mm
  2. Spontaneous passage possible for <10 mm; PCNL for >20 mm
  3. All stones are treated the same regardless of size
  4. Only dietary management is used for stones >20 mm
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Correct answer: Spontaneous passage possible for <10 mm; PCNL for >20 mm

Size influences treatment; stones ≤10 mm may be managed conservatively or with ESWL/URS; >20 mm often require PCNL.

Difficulty: Medium Question 14 of 20

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