Stages and Complications of Gout
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Questions and Answers

What is characterized by hardened deposits of uric acid crystals developing around joints?

  • Joint damage
  • Tophi formation (correct)
  • Kidney stone
  • Kidney damage

Which medication is commonly used for acute gout symptoms?

  • Prednisone
  • Colchicine (correct)
  • Corticosteroids
  • Celecoxib

What is a potential complication of chronic gout characterized by frequent gout pain and tophi formation?

  • Tophi formation
  • Kidney damage
  • Kidney stone
  • Joint damage (correct)

Which diagnostic method involves identifying monosodium urate crystals in synovial fluid?

<p>Synovial joint/fluid analysis (B)</p> Signup and view all the answers

At what stage of gout do periods of remission between gout attacks occur?

<p>Stage 3: Inter-critical Gout (B)</p> Signup and view all the answers

What is a possible consequence of high uric acid levels but cannot be used alone to diagnose gout?

<p>Uric acid blood test (C)</p> Signup and view all the answers

What is the most common joint affected during the initial attack of gout?

<p>Metatarsophalangeal joint (big toe) (C)</p> Signup and view all the answers

Which of the following medications can potentially increase the uric acid level?

<p>Both beta blockers and thiazide diuretics (C)</p> Signup and view all the answers

What is the first stage of gout progression described in the text?

<p>High uric acid levels (A)</p> Signup and view all the answers

Which of the following is NOT a common risk factor for developing gout?

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

What is the main mechanism by which thiazide diuretics can increase uric acid levels?

<p>Promoting reabsorption of uric acid in the renal tubules (D)</p> Signup and view all the answers

Which of the following is a common sign or symptom of an acute gout attack?

<p>Intense joint pain (C)</p> Signup and view all the answers

What are the two overarching goals of gout treatment according to the American College of Rheumatology?

<p>Alleviating pain and inflammation during acute gout attacks, lowering serum urate levels for long-term management (B)</p> Signup and view all the answers

Which class of medications is recommended as first-line for the prevention of recurrent gout?

<p>Xanthine Oxidase Inhibitors (D)</p> Signup and view all the answers

What lifestyle modification is NOT recommended in gout management?

<p>Regular ice application (B)</p> Signup and view all the answers

What medication promotes the excretion of uric acid?

<p>Probenecid (D)</p> Signup and view all the answers

Which medication is specifically mentioned for patients who cannot tolerate first-line agents or when first-line agents are ineffective?

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

What imaging modality allows noninvasive detection of monosodium urate crystal deposits?

<p>Dual-Energy Computed Tomography (DECT) (A)</p> Signup and view all the answers

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