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NU 641 GOUT medications Exam Questions and Answers

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NU 641 GOUT medications Exam Questions and Answers Is gout a form of arthritis? What happens in gout? - Answer-Yes. It is considered a form of arthritis. In gout, purine metabolism is altered leading to increased uric acid Hyperuricemia Urate Crystals deposit in joints, tendons and surroundin...

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  • October 16, 2024
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NU 641 GOUT medications Exam
Questions and Answers

Is gout a form of arthritis? What happens in gout? - Answer✔✔-Yes. It is considered a form of

arthritis.


In gout, purine metabolism is altered leading to increased uric acid


Hyperuricemia


Urate Crystals deposit in joints, tendons and surrounding tissues


Usually characterized by recurrent attacks of acute inflammatory arthritis - a red, tender, hot,

swollen joint


What is the most commonly affected joint in gout? - Answer✔✔-The metatarsal-phalangeal

joint at the base of the big toe is the most commonly affected (approximately 50% of cases)


Symptoms of gout - Answer✔✔-Acute gout presents with acute onset of pain, erythema,

decreased range of motion and swelling of involved joint


Redness is always present in gout


What medications are used to stop pain in acute gout attack? - Answer✔✔-NSAIDs and

corticosteroids



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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


What are the names of three medications that are considered antigout? Why are they

considered antigount? - Answer✔✔-Allopurinol (Zyloprim)


Febuxostate (Uloric)


Colchicine (Colcrys)


All these drugs decrease uric acid


Allopurinol and Febuxostat inhibit xanthine oxidase - enzyme responsible for conversion to uric

acid.


Only drugs that act directly on the pathophysiological cause of gout.


Colchicine does not affect purine metabolism but


Inhibits migration of granulocytes to the inflamed area.


It Reduces lactic acid production by granulocytes which decreases deposition of uric acid


How Allopurinol is different than Febuxostat - Answer✔✔-Both act directly on purine

metabolism, reducing uric acid production


With Allopurinol Serum and urine uric acid starts to fall in 2 to 3 days (quicker than Febuxostat) -

may be week or more before full effect


Febuxostat may take 2 weeks or more to see effect


What does Colchicine do in gout? - Answer✔✔-Decreases inflammatory response of acute gout


Relieves pain in acute attacks - not analgesic


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