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Multiple Choice: Chapter 5 The patient with abdominal pain Question 1. What causes the pain associated with a stone in the ureter? A Urinary extravasation from a ruptured calyceal fornix B Excessive ureteric peristalsis in response to the obstructing stone C Obstruction of urine flow with distension of the renal capsule D Irritation of the ureteric mucosa by the stone E Irritation of the intramural ureter