Urology: ureteric stone in pregnancy: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: ureteric stone in pregnancy

Sample item

A woman in the second trimester has right loin pain, haematuria and mild hydronephrosis on ultrasound. She is afebrile with normal renal function. Which approach is most appropriate initially?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Analgesia and hydration with ultrasound follow-up

Stones in pregnancy are managed conservatively first, because most pass, with ultrasound used for imaging. ESWL is contraindicated in pregnancy, and decompression with a stent or nephrostomy is reserved for infection or obstruction with renal impairment.

Option by option

  • A. Immediate percutaneous nephrolithotomy

    PCNL is a major intervention and is not needed for an uncomplicated stone.

  • B. CT of the abdomen

    CT exposes the fetus to radiation and is avoided initially.

  • C. Analgesia and hydration with ultrasound follow-up (correct)

    Correct. Conservative treatment with ultrasound surveillance is first-line.

  • D. Immediate ESWL

    ESWL is contraindicated in pregnancy.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is C, Analgesia and hydration with ultrasound follow-up. Stones in pregnancy are managed conservatively first, because most pass, with ultrasound used for imaging.

Why is "Immediate percutaneous nephrolithotomy" not the answer?

PCNL is a major intervention and is not needed for an uncomplicated stone.

Why is "CT of the abdomen" not the answer?

CT exposes the fetus to radiation and is avoided initially.

Why is "Immediate ESWL" not the answer?

ESWL is contraindicated in pregnancy.

What concept does this question test?

It tests Urology: ureteric stone in pregnancy in General Surgery. ESWL is contraindicated in pregnancy, and decompression with a stent or nephrostomy is reserved for infection or obstruction with renal impairment.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: ureteric stone in pregnancy?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.