615-Pharm Exam 3 MEGA Review.docx

1. Mr. Holloway presents to your clinic with a significantly swollen, painful big toe and you diagnose him with gout. Of the following options which would be the best treatment for Mr. Holloway? a. Acetaminophen with codeine b. Low-dose colchicine c. High-dose colchicine d. High-dose aspirin Low-dose colchicine. Low-dose colchicine is 1.2 mg followed by 0.6 mg one hour later or 1.8 mg total. High-dose colchicine is 1.2 mg followed by 0.6 mg Q4 to Q6 hours or 4.8 mg total. The difference between the two is low-dose is as effective as high-dose with a lower side effect profile. 2. Patient education when prescribing colchicine includes? a. Moderate amounts of alcohol are safe with colchicine b. Colchicine may be constipating c. Colchicine always causes some degree of diarrhea d. Mild muscle weakness is normal Colchicine always causes some degree of diarrhea 3. You have a patient who is taking allopurinol to prevent gout. What labs will you monitor for this patient on allopurinol? a. Blood glucose b. Complete blood count c. BUN, creatinine, and creatinine clearance d. C-reactive protein BUN, creatinine, and creatinine clearance 4. Mr. Thompson has just started taking febuxostat (Uloric) to treat his gout and he needs to be educated on what to expect. a. Feuxostat may cause severe diarrhea b. He will need frequent CBC monitoring c. He should consume a high-calcium diet d. Gout may worsen with therapy Gout may worsen with therapy 5. Ms. Jensen has been on prednisone for 6 months. Patients who have been on prednisone for some time should be assessed for what? a. Iron deficiency anemia b. Renal dysfunction c. Osteoporosis d. Gout Osteoporosis. P