Gout And Pseudogout (Msq Drill 175)
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- 1.
Which of the following are medications that can cause gout?
- A.
Ethambutol for TB
- B.
Lithium for bipolar
- C.
Diuretics
- D.
Chemotherapy drugs
- E.
Niacin
Correct Answer(s)
A. Ethambutol for TB
C. Diuretics
D. Chemotherapy drugs
E. Niacin -
- 2.
Which of the following can also cause gout?
- A.
Levadopa
- B.
Mercaptopurine (cytotoxic chemod drug)
- C.
ASA
- D.
Cyclosporine
- E.
Donepezile (aricept)
Correct Answer(s)
A. Levadopa
B. Mercaptopurine (cytotoxic chemod drug)
C. ASA
D. Cyclosporine -
- 3.
Which of the following would you give to a patient who is complaining of an acute attack of gout?
- A.
NSAIDS
- B.
ASA
- C.
Acetaminophen
Correct Answer
A. NSAIDS -
- 4.
Why would you not give ASA to a patient with acute gout?
- A.
It has no antiiinflammatory effects
- B.
It may inhibit urate secretion
- C.
It is deposited into joint spaces
Correct Answer
B. It may inhibit urate secretion -
- 5.
You will not give acetaminophen to a patient with acute gout because it has no antiinflamatory effects. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 6.
Which of the following are drugs that are used to treat gout?
- A.
Colchicine
- B.
Probenecid (benuryl)
- C.
Allopurinol (zyloprim)
- D.
Feboxustat (uloric)
- E.
Rasburicase (elitek)
Correct Answer(s)
A. Colchicine
B. Probenecid (benuryl)
C. Allopurinol (zyloprim)
D. Feboxustat (uloric)
E. Rasburicase (elitek) -
- 7.
Which of the following is a natural substance that is used to treat ACUTE gout?
- A.
Colchicine
- B.
Probenecid (benuryl)
- C.
Allopurinol (zyloprim)
- D.
Feboxustat (uloric)
- E.
Rasburicase (elitek)
Correct Answer
A. Colchicine -
- 8.
Colchicine is used to treat acute gout. It may be used to treat chronic gout but nevertheless it causes significant:
- A.
Weight gain
- B.
Weight loss
- C.
Diarrhea
- D.
Urticaria
- E.
Xerostomia
Correct Answer
C. Diarrhea -
- 9.
Are steroids indicated for acute gout?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 10.
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.
- A.
Rasburicase (elitek)
- B.
Feboxustat (uloric
- C.
Probenecid (benuryl)
- D.
Allopurinol (zyloprim)
Correct Answer
C. Probenecid (benuryl) -
- 11.
For undesecretors give probenecid (benuryl), for overproducers of uric acid give:
- A.
Allopurinol (zyloprim)
- B.
Feboxustat (uloric
- C.
Rasburicase (elitek)
- D.
Lasix (furosemide)
Correct Answer
A. Allopurinol (zyloprim) -
- 12.
Allopurinol (zyloprim) is a:
- A.
Uric acid oxidase inhibitor
- B.
Xanthine oxidase inhibitor
- C.
Adenosine deaminase inhibitor
- D.
Purine nucleotide phosphorylase inhibitor
Correct Answer
B. Xanthine oxidase inhibitor -
- 13.
The following chemotherpeutic agents will need to undergo a dose reduction in a patient with gout because they are metabolized into uric acid.
- A.
Mercaptourine
- B.
Asathiprine
- C.
Cyclosporine
- D.
Syclophosphamide
Correct Answer(s)
A. Mercaptourine
B. Asathiprine
D. SyclopHospHamide -
- 14.
Is it possible to get a rash from taking anti gout medications?
- A.
Yes, this is why you should tell your patient to report this rash immediately if you want to avoid malpractice.
- B.
No, rash does not usually occur, if it does it is usually not related to the medication for gout.
Correct Answer
A. Yes, this is why you should tell your patient to report this rash immediately if you want to avoid malpractice. -
- 15.
Should patients with gout be told to cut down on their fluid intake?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 16.
You optimise the dose of the anit-gout medication to keep the patient's uric level:
- A.
Below 5
- B.
Below 6
- C.
Below 7
- D.
Below 8
Correct Answer
B. Below 6 -
- 17.
Would you increase or decrease the dose in a patient with diminished renal function?
- A.
Increase the dose
- B.
Decrease the dose
Correct Answer
B. Decrease the dose -
- 18.
Which drug has a theoretic advantage in that it inhibits both oxidized and reduced xanthine oxidase but unfortunately also interacts with 6-MP-azathioprine?
- A.
Rasburicase (elitek)
- B.
Colchicine
- C.
Allopurinol (zyloprim)
- D.
Feboxustat (uloric)
- E.
Probenecid (benuryl)
Correct Answer
D. Feboxustat (uloric) -
- 19.
Which drug is used for severe chemotherapy induced tumor lysis syndrome?
- A.
Probenecid (benuryl)
- B.
Allopurinol (zyloprim)
- C.
Rasburicase (elitek)
- D.
Colchicine
- E.
Feboxustat (uloric)
Correct Answer
C. Rasburicase (elitek) -
- 20.
Which mimics the other, gout or pseudogout?
- A.
Gout mimics pseudogout
- B.
Pseudogout mimics gout
Correct Answer
B. Pseudogout mimics gout -
- 21.
Because pseudogout mimics gout, it is important to know the cuse of the symmptoms before treatment. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 22.
How do you treat pseudogout?
- A.
Colchicine
- B.
NSAIDS
- C.
Systemic steroids
- D.
Intra-articular steroids
- E.
Allopurinol (zyloprim)
Correct Answer(s)
B. NSAIDS
C. Systemic steroids
D. Intra-articular steroids -
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Feb 16, 2019Quiz Edited by
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Apr 27, 2010Quiz Created by
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