Chronic Gout Management
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Questions and Answers

What is the aim of chronic gout management?

  • To promote joint damage
  • To accelerate acute flares
  • To maintain the 'intercritical' phase (correct)
  • To increase tophi formation

How is joint damage primarily caused in chronic gout?

  • By excessive synovial fluid production
  • By immune system malfunction
  • Due to bacteria invasion
  • Through granuloma formation or crystalline deposition (correct)

What role does urate-lowering therapy (ULT) play in treating gout?

  • It increases uric acid levels in the body
  • It reduces the body's uric acid levels (correct)
  • It induces tophi formation
  • It promotes acute flares

Which medication is recommended for severe chronic gout that does not respond to other therapies?

<p>Pegloticase (B)</p> Signup and view all the answers

What process does pegloticase perform in the body?

<p>Breaks down uric acid to allantoin (A)</p> Signup and view all the answers

Why might it be debated whether 'intercritical' gout should be treated more aggressively?

<p>'Intercritical' gout can still cause joint destruction without attacks (C)</p> Signup and view all the answers

What is the primary excretion route of Febuxostat?

<p>Urine (C)</p> Signup and view all the answers

Which drug is rapidly metabolized to oxipurinol, its active form?

<p>Allopurinol (C)</p> Signup and view all the answers

What do Xanthine Oxidase Inhibitors (XOIs) primarily target in gout treatment?

<p>Xanthine oxidase activity (D)</p> Signup and view all the answers

Which condition is a contraindication for Uricosuric Agents?

<p>Conditions increasing uric acid production or decreasing kidney function (A)</p> Signup and view all the answers

What is the unique feature of Pegloticase among ULT agents?

<p>Intravenous administration and recombinant polyethylene glycolated Uch-A specific enzyme conjugate (A)</p> Signup and view all the answers

Why has the clinical use of uricosuric agents diminished over time?

<p>'s potential risks and limitations have become more evident (B)</p> Signup and view all the answers

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