A 46-Year-Old Man Comes to the Emergency Department with Flank

question 120

Multiple Choice

A 46-year-old man comes to the emergency department with flank pain and hematuria.  The pain is similar to several previous episodes of kidney stones.  Abdominal imaging reveals a radiopaque calculus in the right ureter.  The patient is admitted to the hospital and given intravenous hydration and analgesics.  He subsequently passes the stone with rapid relief of his symptoms.  Chemical analysis reveals that the stone is composed primarily of calcium oxalate.  Which of the following medications is most likely to prevent recurrent stone formation in this patient?

• A)Acetazolamide
• B)Furosemide
• C)Hydrochlorothiazide
• D)Mannitol
• E)Triamterene

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Definitions:

Black Abolitionists

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American Anti-Slavery Society

Founded in 1833, the organization that sought an immediate end to slavery and the establishment of equality for black Americans. It split in 1840 after disputes about the role of women within the organization and other issues.

Fourth of July

An American federal holiday commemorating the adoption of the Declaration of Independence on July 4, 1776, marking the country's independence from Great Britain.

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A novel by Harriet Beecher Stowe that was published in 1852, highlighting the harsh realities of slavery in America and contributing significantly to anti-slavery sentiments.