NUR 6121 EXAM 3 QUESTIONS AND
ANSWERS 2026 VERIFIED.
What is gout? - ANS A systemic hereditary autoimmune metabolic disease caused by
deposition of monosodium urate crystals due to hyperuricemia.
What uric acid level causes crystal formation? - ANS >6.8 mg/dL
What causes hyperuricemia? - ANS Increased uric acid production, decreased renal
excretion, or both.
Does hyperuricemia always cause gout? - ANS No, it can be asymptomatic for years.
Primary hyperuricemia cause? - ANS Inborn metabolic error.
Secondary hyperuricemia cause? - ANS Disease or medications.
Most common inflammatory arthritis - ANS Gout
Most common joint affected in gout - ANS 1st MTP joint (podagra)
1
, Classic gout flare symptoms - ANS Pain, redness, swelling, warmth, decreased ROM.
When do gout flares often occur? - ANS At night
Gold standard for gout diagnosis - ANS Needle aspiration showing MSU crystals.
Four stages of gout - ANS Asymptomatic hyperuricemia, Acute flare, Intercritical gout,
Chronic tophaceous gout.
First-line treatment for acute gout - ANS NSAIDs
Colchicine mechanism - ANS Inhibits neutrophil migration.
Goal uric acid level in gout - ANS ≤6 mg/dL
First-line urate-lowering therapy - ANS Allopurinol
When to start urate-lowering therapy - ANS 6-8 weeks after flare resolves.
Most common cause of low back pain - ANS Mechanical or degenerative causes.
Most common spinal levels affected - ANS L4-L5 and L5-S1
Acute low back pain duration - ANS <6 weeks
2
ANSWERS 2026 VERIFIED.
What is gout? - ANS A systemic hereditary autoimmune metabolic disease caused by
deposition of monosodium urate crystals due to hyperuricemia.
What uric acid level causes crystal formation? - ANS >6.8 mg/dL
What causes hyperuricemia? - ANS Increased uric acid production, decreased renal
excretion, or both.
Does hyperuricemia always cause gout? - ANS No, it can be asymptomatic for years.
Primary hyperuricemia cause? - ANS Inborn metabolic error.
Secondary hyperuricemia cause? - ANS Disease or medications.
Most common inflammatory arthritis - ANS Gout
Most common joint affected in gout - ANS 1st MTP joint (podagra)
1
, Classic gout flare symptoms - ANS Pain, redness, swelling, warmth, decreased ROM.
When do gout flares often occur? - ANS At night
Gold standard for gout diagnosis - ANS Needle aspiration showing MSU crystals.
Four stages of gout - ANS Asymptomatic hyperuricemia, Acute flare, Intercritical gout,
Chronic tophaceous gout.
First-line treatment for acute gout - ANS NSAIDs
Colchicine mechanism - ANS Inhibits neutrophil migration.
Goal uric acid level in gout - ANS ≤6 mg/dL
First-line urate-lowering therapy - ANS Allopurinol
When to start urate-lowering therapy - ANS 6-8 weeks after flare resolves.
Most common cause of low back pain - ANS Mechanical or degenerative causes.
Most common spinal levels affected - ANS L4-L5 and L5-S1
Acute low back pain duration - ANS <6 weeks
2
