Pharmacy Quiz: Management of Gout

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What is the usual maintenance dose of febuxostat?

> 300 mg/day

What is the recommended hydration level to prevent kidney stones when taking probenecid?

> 2L of water

What is the primary goal of HLA-B*5801 genotyping before initiating allopurinol?

To identify risk of allopurinol-induced SCARs

What is the initial dose of probenecid for patients with gout?

<p>250 mg BD x 1 week</p> Signup and view all the answers

What is the maximum dose of febuxostat in patients with normal renal function?

<p>800-900 mg/day</p> Signup and view all the answers

What is the time frame in which severe cutaneous adverse reactions (SCARs) most commonly occur after initiating allopurinol?

<p>Within the first few weeks to months</p> Signup and view all the answers

What is the primary cause of over-production of uric acid?

<p>Inborn errors of metabolism</p> Signup and view all the answers

A patient wakes up with severe pain in the big toe joint. What is the likely diagnosis?

<p>Gout</p> Signup and view all the answers

What is the diagnostic test for gout?

<p>Presence of uric acid crystals in joint aspirate</p> Signup and view all the answers

What is the goal of treatment in gout?

<p>All of the above</p> Signup and view all the answers

What is the normal serum uric acid level in women?

<p>&gt; 6 mg/dL</p> Signup and view all the answers

What is the treatment target for urate lowering therapy in tophaceous gout?

<p>&lt; 300 μmol/L</p> Signup and view all the answers

What is the name of the enzyme that breaks down hypoxanthine and guanine to form nucleic acids?

<p>Hypoxanthine-guanine phosphoribosyltransferase</p> Signup and view all the answers

What is the purpose of prophylaxis in gout management?

<p>To reduce the risk of future attacks</p> Signup and view all the answers

What is the name of the crystal that is deposited in the joints of patients with gout?

<p>Monosodium urate</p> Signup and view all the answers

What is the term for the period between gout flares?

<p>Inter-critical phase</p> Signup and view all the answers

What is the reason routine genotyping is not done for allopurinol-induced SCAR?

<p>Lack of alternative cost-effective ULT options and low positive predictive value</p> Signup and view all the answers

Which of the following medications increases the risk of bone marrow suppression when used with allopurinol?

<p>Azathioprine</p> Signup and view all the answers

What is the purpose of initiating ULT with anti-inflammatory prophylaxis when starting allopurinol?

<p>To prevent acute gout flares</p> Signup and view all the answers

Which of the following is NOT a drug interaction with allopurinol?

<p>Pegloticase</p> Signup and view all the answers

What is the typical dose of colchicine used for prophylaxis against acute flares when starting allopurinol?

<p>0.5 mg OD</p> Signup and view all the answers

Which of the following patient groups is at higher risk of allopurinol-induced SCAR?

<p>Patients with renal impairment</p> Signup and view all the answers

What is the recommended action when considering alternative antihypertensive therapy for gout patients?

<p>Replace HCTZ with an ACE inhibitor like enalapril</p> Signup and view all the answers

Which type of medication has a uricosuric effect and can be considered for gout patients?

<p>Losartan and ACE inhibitors</p> Signup and view all the answers

What should not be stopped or modified in gout patients despite its anti-uricosuric effect?

<p>Low-dose aspirin therapy</p> Signup and view all the answers

Which food-related information is relevant for gout patients?

<p>Total purine and purine base content of common foodstuffs</p> Signup and view all the answers

What is an important aspect to consider when taking a patient's medical history for gout?

<p>The timing and severity of the patient's symptoms</p> Signup and view all the answers

What is a recommended question to ask a patient during a gout consultation?

<p>Can you describe the pain and trauma to your toe?</p> Signup and view all the answers

What is the primary underlying cause of gout?

<p>Imbalances in purine metabolism leading to uric acid accumulation</p> Signup and view all the answers

What is the term for the deposition of monosodium urate crystals in articular and periarticular tissues?

<p>Podagra</p> Signup and view all the answers

What is the goal of pharmacotherapy in managing gout?

<p>All of the above</p> Signup and view all the answers

What is the term used to describe the heterogeneous clinical spectrum of diseases caused by monosodium urate crystals?

<p>Gout syndrome</p> Signup and view all the answers

What is the learning objective related to the pharmacotherapy approach in gout?

<p>Describe the pharmacotherapy approach in gout</p> Signup and view all the answers

What is the common term used to describe the most common location of gout attacks?

<p>Podagra</p> Signup and view all the answers

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