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Henry presents to clinic with a significantly swollen, painful great toe and is diagnosed with gout. Of the
following, which would be the best treatment for Henry?
1. High-dose colchicine
2. Low-dose colchicine
3. High-dose aspirin
4. Acetaminophen with codeine - CORRECT ANSWERS 2. Low-dose colchicine
Patient education when prescribing colchicine includes:
1. Colchicine may be constipating.
2. Colchicine always causes some degree of diarrhea.
3. Mild muscle weakness is normal.
4. Moderate amounts of alcohol are safe with colchicine. - CORRECT ANSWERS 2. Colchicine
always causes some degree of diarrhea.
Larry is taking allopurinol to prevent gout. Monitoring of a patient who is taking allopurinol includes:
1. Complete blood count
2. Blood glucose
3. C-reactive protein
4. BUN, creatinine, and creatinine clearance - CORRECT ANSWERS 4. BUN, creatinine, and
creatinine clearance
, Phil is starting treatment with febuxostat (Uloric). Education of patients starting febuxostat includes:
1. Gout may worsen with therapy.
2. Febuxostat may cause severe diarrhea.
3. He should consume a high-calcium diet.
4. He will need frequent CBC monitoring. - CORRECT ANSWERS 1. Gout may worsen with
therapy.
Sallie has been taking 10 mg per day of prednisone for the past 6 months. She should be assessed for:
1. Gout
2. Iron deficiency anemia
3. Osteoporosis
4. Renal dysfunction - CORRECT ANSWERS 3. Osteoporosis
Patients whose total dose of prednisone will exceed 1 gram will most likely need a second prescription
for:
1. Metformin, a biguanide to prevent diabetes
2. Omeprazole, a proton pump inhibitor to prevent peptic ulcer disease
3. Naproxen, an NSAID to treat joint pain
4. Furosemide, a diuretic to treat fluid retention - CORRECT ANSWERS 2. Omeprazole, a proton
pump inhibitor to prevent peptic ulcer disease
Daniel has been on 60 mg of prednisone for 10 days to treat a severe asthma exacerbation. It is time to
discontinue the prednisone. How is prednisone discontinued?
1. Patients with asthma are transitioned directly off the prednisone onto inhaled corticosteroids.
2. Prednisone can be abruptly discontinued with no adverse effects.
3. Develop a tapering schedule to slowly wean Daniel off the prednisone.