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surgeon99
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07/14/06 - 05:37 AM

A 40-year-old woman has recurrent calcium-containing renal calculi. Which of the following strategies is most likely to decrease her risk for forming additional calculi?
A ) Administration of a thiazide diuretic
B ) Alkalinization of the urine
C ) Ingestion of a high-oxalate diet
D ) Ingestion of a high-protein diet
E ) Restriction of fluid intake

surgeon99
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07/14/06 - 05:38 AM

A or B not sure

star1
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07/14/06 - 08:26 AM

robin082006
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07/14/06 - 08:29 AM

A.AAAAAAA

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zhoufg
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07/18/06 - 02:53 PM

B, the Q doesn't say she needs diuretics medication.

tolito
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07/19/06 - 07:31 AM

A

alkalinizing her urine will make her precipitate more calcium. remember mech for proteus and staghorn calculi. thiazides will increase calcium reabsorption thereby reducing risk for precipitation. it may worsen hypercalcemia though.

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study_ing
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07/19/06 - 08:36 AM

just for the sake of completion what kinds of stones are ppted by

1) acidic

2) alkaline urine

1) uric acid, cystine and calcium oxalate

2)Ca phosphate and struvite...

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