NR576 SCRIPT 2026 FULL CORRECT
ANSWER SET
◉Tachycardia. Answer: Increased heart rate often associated with
fever.
◉CVA tenderness. Answer: Positive Murphy's punch sign indicating
kidney involvement.
◉Flank pain. Answer: Pain radiating to abdomen.
◉Nausea. Answer: Feeling of sickness with an inclination to vomit.
◉Vomiting. Answer: The act of expelling contents from the stomach
through the mouth.
◉Malaise. Answer: General feeling of discomfort or unease.
◉UA findings. Answer: WBC casts, bacteriuria, hematuria.
, ◉Management for outpatient pyelonephritis. Answer: Oral
fluoroquinolone (Cipro 7 days) if stable.
◉Management for severe pyelonephritis. Answer: IV ceftriaxone.
◉Nephrolithiasis pain. Answer: Severe colicky flank pain radiating
to groin/testicle or labia.
◉Patient behavior in nephrolithiasis. Answer: Patient writhing in
pain ("can't sit still").
◉Hematuria. Answer: Presence of blood in urine.
◉Diagnostics for nephrolithiasis. Answer: Non-contrast spiral CT
abdomen/pelvis = gold standard.
◉Urine output recommendation. Answer: Maintain urine output > 2
L/day (adequate hydration).
◉Dietary recommendations for nephrolithiasis. Answer: Limit
sodium, animal protein, oxalate-rich foods (spinach, nuts, tea).
◉Citrate intake recommendation. Answer: Increase citrate intake
(lemon juice).
ANSWER SET
◉Tachycardia. Answer: Increased heart rate often associated with
fever.
◉CVA tenderness. Answer: Positive Murphy's punch sign indicating
kidney involvement.
◉Flank pain. Answer: Pain radiating to abdomen.
◉Nausea. Answer: Feeling of sickness with an inclination to vomit.
◉Vomiting. Answer: The act of expelling contents from the stomach
through the mouth.
◉Malaise. Answer: General feeling of discomfort or unease.
◉UA findings. Answer: WBC casts, bacteriuria, hematuria.
, ◉Management for outpatient pyelonephritis. Answer: Oral
fluoroquinolone (Cipro 7 days) if stable.
◉Management for severe pyelonephritis. Answer: IV ceftriaxone.
◉Nephrolithiasis pain. Answer: Severe colicky flank pain radiating
to groin/testicle or labia.
◉Patient behavior in nephrolithiasis. Answer: Patient writhing in
pain ("can't sit still").
◉Hematuria. Answer: Presence of blood in urine.
◉Diagnostics for nephrolithiasis. Answer: Non-contrast spiral CT
abdomen/pelvis = gold standard.
◉Urine output recommendation. Answer: Maintain urine output > 2
L/day (adequate hydration).
◉Dietary recommendations for nephrolithiasis. Answer: Limit
sodium, animal protein, oxalate-rich foods (spinach, nuts, tea).
◉Citrate intake recommendation. Answer: Increase citrate intake
(lemon juice).