Podcast
Questions and Answers
Which symptom is most characteristic of an acute gout attack?
Which symptom is most characteristic of an acute gout attack?
- Strange lumps around joints
- Kidney stones
- Rapidly worsening pain (correct)
- Pain in the elbows
Which dietary component is primarily involved in the biosynthesis of uric acid?
Which dietary component is primarily involved in the biosynthesis of uric acid?
- Guanine
- Cytosine
- Adenine
- Hypoxanthine (correct)
What is the relationship between diuretics and hyperuricemia?
What is the relationship between diuretics and hyperuricemia?
- Diuretics induce hyperuricemia by increasing urate reabsorption (correct)
- Diuretics do not affect uric acid levels
- Diuretics lower serum uric acid levels
- Diuretics decrease urate reabsorption
Which test is utilized to detect the presence of crystals in the joint fluid for gout diagnosis?
Which test is utilized to detect the presence of crystals in the joint fluid for gout diagnosis?
Which condition is associated with an increased risk for developing gout due to high cell turnover?
Which condition is associated with an increased risk for developing gout due to high cell turnover?
What does a high erythrocyte sedimentation rate indicate in the context of gout?
What does a high erythrocyte sedimentation rate indicate in the context of gout?
Which demographic group is more predisposed to gout?
Which demographic group is more predisposed to gout?
What does the presence of tophi around joints indicate?
What does the presence of tophi around joints indicate?
What serum uric acid level is generally considered elevated?
What serum uric acid level is generally considered elevated?
Which of the following tests may show normal results during an acute gout attack?
Which of the following tests may show normal results during an acute gout attack?
What is the primary goal of targeting serum uric acid levels in gout management?
What is the primary goal of targeting serum uric acid levels in gout management?
Why should aspirin be avoided in the treatment of gout?
Why should aspirin be avoided in the treatment of gout?
What is the mechanism of action of colchicine in treating gout?
What is the mechanism of action of colchicine in treating gout?
Which dietary practice is recommended for managing gout?
Which dietary practice is recommended for managing gout?
What is a significant concern when using colchicine in patients with renal insufficiency?
What is a significant concern when using colchicine in patients with renal insufficiency?
Which COX-2 inhibitor is suggested for patients unable to tolerate conventional NSAIDs?
Which COX-2 inhibitor is suggested for patients unable to tolerate conventional NSAIDs?
What defines the therapeutic index of colchicine?
What defines the therapeutic index of colchicine?
What mechanism does allopurinol use to lower uric acid levels in the body?
What mechanism does allopurinol use to lower uric acid levels in the body?
What is a common initial sign of colchicine toxicity?
What is a common initial sign of colchicine toxicity?
What is the recommended lifestyle change for obese patients with gout?
What is the recommended lifestyle change for obese patients with gout?
Which statement about allopurinol is correct?
Which statement about allopurinol is correct?
What is a contraindication when prescribing febuxostat?
What is a contraindication when prescribing febuxostat?
What is a significant risk associated with uricosuric agents?
What is a significant risk associated with uricosuric agents?
Which of the following is true regarding lesinurad?
Which of the following is true regarding lesinurad?
What are the potential side effects of febuxostat?
What are the potential side effects of febuxostat?
Which pathway is associated with the pathogenesis of gouty arthritis?
Which pathway is associated with the pathogenesis of gouty arthritis?
What is the effect of allopurinol on uric acid?
What is the effect of allopurinol on uric acid?
Which of the following is a common reason for caution when prescribing febuxostat?
Which of the following is a common reason for caution when prescribing febuxostat?
How should uricosuric agents be used in patients with a history of uric acid stones?
How should uricosuric agents be used in patients with a history of uric acid stones?
What distinguishes febuxostat from allopurinol?
What distinguishes febuxostat from allopurinol?
Flashcards
Gout
Gout
A condition caused by the buildup of uric acid crystals in your joints, leading to sudden, severe pain and inflammation.
What is Gout?
What is Gout?
A type of inflammatory arthritis characterized by sudden, severe pain in the joints, typically in the big toe, knees, ankles, wrists and elbows.
Uric Acid Biosynthesis
Uric Acid Biosynthesis
The process by which uric acid is produced in the body. It starts with dietary intake of purines, which are broken down into uric acid via the enzyme Xanthine oxidase.
Uric Acid
Uric Acid
Signup and view all the flashcards
Purines
Purines
Signup and view all the flashcards
Xanthine Oxidase
Xanthine Oxidase
Signup and view all the flashcards
Tophi
Tophi
Signup and view all the flashcards
Rapidly Worsening Pain
Rapidly Worsening Pain
Signup and view all the flashcards
Kidney Stones
Kidney Stones
Signup and view all the flashcards
Alcohol
Alcohol
Signup and view all the flashcards
Lifestyle Management for Gout
Lifestyle Management for Gout
Signup and view all the flashcards
Urate-lowering Drugs
Urate-lowering Drugs
Signup and view all the flashcards
NSAIDs (Nonsteroidal Anti-inflammatory Drugs)
NSAIDs (Nonsteroidal Anti-inflammatory Drugs)
Signup and view all the flashcards
Colchicine
Colchicine
Signup and view all the flashcards
Allopurinol
Allopurinol
Signup and view all the flashcards
COX-2 Inhibitors
COX-2 Inhibitors
Signup and view all the flashcards
Hyperuricemia
Hyperuricemia
Signup and view all the flashcards
Gout Attack
Gout Attack
Signup and view all the flashcards
Febuxostat
Febuxostat
Signup and view all the flashcards
Uricosuric Agents
Uricosuric Agents
Signup and view all the flashcards
Lesinurad
Lesinurad
Signup and view all the flashcards
P2X7R
P2X7R
Signup and view all the flashcards
ATP
ATP
Signup and view all the flashcards
P2X7R Polymorphisms
P2X7R Polymorphisms
Signup and view all the flashcards
ATP-P2X7R Signaling
ATP-P2X7R Signaling
Signup and view all the flashcards
Stevens-Johnson Syndrome (SJS)
Stevens-Johnson Syndrome (SJS)
Signup and view all the flashcards
Skin Reactions to Febuxostat
Skin Reactions to Febuxostat
Signup and view all the flashcards
Study Notes
Gout
- Gout is a condition where excess uric acid crystals accumulate in joints, causing pain and inflammation.
- Symptoms include intense joint pain, redness, swelling, and tenderness.
- Uric acid is a byproduct of purine metabolism.
- High levels of serum uric acid (greater than 10mg/L) are not always indicative of gout.
- Normal serum uric acid levels are less than 7 mg/L
- Diagnosis involves joint aspiration and light microscopy to detect crystals.
- Full blood count with elevated white blood cells typically indicates inflammation.
- Erythrocyte sedimentation rate helps assess inflammation; a faster-than-normal rate suggests inflammation.
- X-ray can show signs of acute gout (e.g., joint inflammation).
Uric Acid Biosynthesis
- Uric acid is formed from dietary intake and purine bases and cell breakdown.
- Hypoxanthine is a precursor in the process.
- Xanthine oxidase is an enzyme that converts hypoxanthine to xanthine and then to uric acid.
- Uric acid is excreted by the kidneys.
Predisposition
- Males are more susceptible than females to gout.
- Family history increases the risk.
- Body size (larger) increases risk.
- Diet high in purines increases risk.
- Alcohol consumption is a risk factor.
- Diuretics can cause hyperuricemia.
- Diseases/treatments that cause high cell turnover (e.g., psoriasis, chemotherapy) can contribute.
- Impaired renal function increases the risk of gout.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.