Gout and Pseudogout (Msq Drill 175)

1. Which mimics the other, gout or pseudogout?

Gout mimics pseudogout

Pseudogout mimics gout

2. Because pseudogout mimics gout, it is important to know the cuse of the symmptoms before treatment. True or false?

True

False

3. Which of the following is a natural substance that is used to treat ACUTE gout?

Colchicine

Probenecid (benuryl)

Allopurinol (zyloprim)

Feboxustat (uloric)

Rasburicase (elitek)

4. Is it possible to get a rash from taking anti gout medications?

Yes, this is why you should tell your patient to report this rash immediately if you want to avoid malpractice.

No, rash does not usually occur, if it does it is usually not related to the medication for gout.

5. Should patients with gout be told to cut down on their fluid intake?

Yes

No

6. You will not give acetaminophen to a patient with acute gout because it has no antiinflamatory effects. True or false?

True

False

7. Allopurinol (zyloprim) is a:

Uric acid oxidase inhibitor

Xanthine oxidase inhibitor

Adenosine deaminase inhibitor

Purine nucleotide phosphorylase inhibitor

8. Which of the following would you give to a patient who is complaining of an acute attack of gout?

NSAIDS

ASA

Acetaminophen

9. Colchicine is used to treat acute gout. It may be used to treat chronic gout but nevertheless it causes significant:

Weight gain

Weight loss

Diarrhea

Urticaria

Xerostomia

10. Would you increase or decrease the dose in a patient with diminished renal function?

Increase the dose

Decrease the dose

11. Are steroids indicated for acute gout?

Yes

No

12. Which drug is used for severe chemotherapy induced tumor lysis syndrome?

Probenecid (benuryl)

Allopurinol (zyloprim)

Rasburicase (elitek)

Colchicine

Feboxustat (uloric)

13. For undesecretors give probenecid (benuryl), for overproducers of uric acid give:

Allopurinol (zyloprim)

Feboxustat (uloric

Rasburicase (elitek)

Lasix (furosemide)

14. You optimise the dose of the anit-gout medication to keep the patient's uric level:

Below 5

Below 6

Below 7

Below 8

15. Why would you not give ASA to a patient with acute gout?

It has no antiiinflammatory effects

It may inhibit urate secretion

It is deposited into joint spaces

16. Which of the following are drugs that are used to treat gout?

Colchicine

Probenecid (benuryl)

Allopurinol (zyloprim)

Feboxustat (uloric)

Rasburicase (elitek)

Submit

17. Some patients are undersecretors in their gout profile. Which of the following drug is auricosuric ( increases uric secretion) that can be used although is carries risks of uric acid nephroliths and toxicities.

Rasburicase (elitek)

Feboxustat (uloric

Probenecid (benuryl)

Allopurinol (zyloprim)

18. Which of the following can also cause gout?

Levadopa

Mercaptopurine (cytotoxic chemod drug)

ASA

Cyclosporine

Donepezile (aricept)

Submit

19. Which of the following are medications that can cause gout?

Ethambutol for TB

Lithium for bipolar

Diuretics

Chemotherapy drugs

Niacin

Submit

20. How do you treat pseudogout?

Colchicine

NSAIDS

Systemic steroids

Intra-articular steroids

Allopurinol (zyloprim)

Submit

21. Which drug has a theoretic advantage in that it inhibits both oxidized and reduced xanthine oxidase but unfortunately also interacts with 6-MP-azathioprine?

Rasburicase (elitek)

Colchicine

Allopurinol (zyloprim)

Feboxustat (uloric)

Probenecid (benuryl)

22. The following chemotherpeutic agents will need to undergo a dose reduction in a patient with gout because they are metabolized into uric acid.

Mercaptourine

Asathiprine

Cyclosporine

Syclophosphamide

Submit

Gout and Pseudogout (Msq Drill 175)

1. Which mimics the other, gout or pseudogout?

2.

What first name or nickname would you like us to use?

2. Because pseudogout mimics gout, it is important to know the cuse of the symmptoms before treatment. True or false?

3. Which of the following is a natural substance that is used to treat ACUTE gout?

4. Is it possible to get a rash from taking anti gout medications?

5. Should patients with gout be told to cut down on their fluid intake?

6. You will not give acetaminophen to a patient with acute gout because it has no antiinflamatory effects. True or false?

7. Allopurinol (zyloprim) is a:

8. Which of the following would you give to a patient who is complaining of an acute attack of gout?

9. Colchicine is used to treat acute gout. It may be used to treat chronic gout but nevertheless it causes significant:

10. Would you increase or decrease the dose in a patient with diminished renal function?

11. Are steroids indicated for acute gout?

12. Which drug is used for severe chemotherapy induced tumor lysis syndrome?

13. For undesecretors give probenecid (benuryl), for overproducers of uric acid give:

14. You optimise the dose of the anit-gout medication to keep the patient's uric level:

15. Why would you not give ASA to a patient with acute gout?

16. Which of the following are drugs that are used to treat gout?

17. Some patients are undersecretors in their gout profile. Which of the following drug is auricosuric ( increases uric secretion) that can be used although is carries risks of uric acid nephroliths and toxicities.

18. Which of the following can also cause gout?

19. Which of the following are medications that can cause gout?

20. How do you treat pseudogout?

21. Which drug has a theoretic advantage in that it inhibits both oxidized and reduced xanthine oxidase but unfortunately also interacts with 6-MP-azathioprine?

22. The following chemotherpeutic agents will need to undergo a dose reduction in a patient with gout because they are metabolized into uric acid.