Corticosteroids Co-administration Quiz
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Questions and Answers

What is the main mechanism of action of colchicine in treating acute gout?

  • Direct analgesic effects on the affected joint
  • Inhibition of phagocytic activity by interfering with the function of mitotic spindles in neutrophils (correct)
  • Reduction of inflammation through inhibition of prostaglandin synthesis
  • Promotion of uric acid excretion by the kidneys

Which of the following is the main reason why colchicine is used less commonly today compared to the past?

  • It has a low therapeutic index (correct)
  • It is more expensive than other treatment options
  • It has a higher risk of gastrointestinal side effects
  • It is less effective than NSAIDs

Which of the following is true about the approved dosage regimen for colchicine in the treatment of acute gout?

  • The initial dose is 1.2 mg, followed by 0.6 mg 1 hour later (correct)
  • The initial dose is 0.6 mg, followed by 0.6 mg 1 hour later
  • The initial dose is 1.2 mg, followed by 0.6 mg every 12 hours
  • The initial dose is 0.6 mg, followed by 0.6 mg every 24 hours

Which of the following is the most common side effect associated with colchicine use?

<p>Gastrointestinal side effects (C)</p> Signup and view all the answers

In which patient population should the dosing of colchicine be adjusted?

<p>Patients with severe renal impairment (CrCl &lt; 30 mL/min) (A)</p> Signup and view all the answers

Which of the following is the primary reason why colchicine may be preferred over NSAIDs for the treatment of acute gout?

<p>Colchicine is reserved for patients at risk of NSAID-induced gastropathy (A)</p> Signup and view all the answers

Which of the following statements about the therapeutic index of colchicine is correct?

<p>Colchicine has a low therapeutic index, making it a riskier option for the treatment of acute gout (D)</p> Signup and view all the answers

What is the primary reason why colchicine is not considered to be an analgesic?

<p>Colchicine does not have any direct pain-relieving effects (A)</p> Signup and view all the answers

Which of the following factors is most likely to influence the decision to use colchicine over NSAIDs for the treatment of acute gout?

<p>The patient's risk of NSAID-induced gastropathy (B)</p> Signup and view all the answers

What is the recommended timing for starting the prophylactic dosing of colchicine after the initial treatment of an acute gout flare?

<p>12 hours after the initial treatment (D)</p> Signup and view all the answers

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