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USMLE · Question #525

A 42-year-old man comes to the physician for a follow-up examination 1 week after he passed a renal calculus. X-ray crystallographic analysis of the calculus showed calcium as the primary cation…

The correct answer is B. Na - Cl symport inhibitor. See the full explanation below for the reasoning.

Question

A 42-year-old man comes to the physician for a follow-up examination 1 week after he passed a renal calculus. X-ray crystallographic analysis of the calculus showed calcium as the primary cation. Physical examination today shows no abnormalities. A 24-hour collection of urine shows increased calcium excretion. Which of the following is the most appropriate pharmacotherapy?

Options

  • ACarbonic anhydrase inhibitor
  • BNa - Cl symport inhibitor
  • CNa - K - 2Cl symport inhibitor
  • DOsmotic diuretic
  • ERenal epithelial sodium channel inhibitor

How the community answered

(31 responses)
  • A
    3% (1)
  • B
    71% (22)
  • C
    6% (2)
  • D
    3% (1)
  • E
    16% (5)

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