PAEA Surgery End Of Rotation (EOR) Practice Exam

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What is the recommended treatment approach for uric acid stones?

  1. Limit purines in the diet

  2. Increase protein intake

  3. Reduce sodium intake

  4. Use of calcium supplements

The correct answer is: Limit purines in the diet

The recommended treatment approach for uric acid stones focuses on limiting purines in the diet. Uric acid stones form when there is an excess of uric acid in the urine, which can occur due to high levels of purine intake from foods such as red meats, shellfish, and certain types of fish. By reducing purine consumption, patients can lower uric acid levels in their body, thereby decreasing the likelihood of stone formation. This dietary modification is crucial, as increasing protein intake can potentially exacerbate the problem since many protein sources are also rich in purines. Reducing sodium intake and using calcium supplements are generally not directly related to the management of uric acid stones; instead, they address issues related to other types of stones or general kidney health. Therefore, focusing on purine restriction is the most effective strategy for preventing the recurrence of uric acid stones.