Gout

Question 1

What is primary gout?

Answer 1

Primary gout is a form of arthritis characterized by the accumulation of uric acid crystals in the joints.

Question 2

What are the common generic names used to treat gout?

Answer 2

Colchicine, Allopurinol, Febuxostat, and Probenecid.

Question 3

What is the primary action of Colchicine?

Answer 3

Colchicine reduces inflammation caused by gout attacks.

Question 4

What is the indication for Allopurinol?

Answer 4

Allopurinol is indicated for the chronic management of gout by reducing uric acid production.

Question 5

What adverse effect is commonly associated with Colchicine?

Answer 5

Gastrointestinal upset, including nausea and diarrhea.

Question 6

True or False: Allopurinol can cause skin rashes.

Answer 6

True.

Question 7

What nursing action should be taken when administering Febuxostat?

Answer 7

Monitor liver function tests regularly.

Question 8

What is a contraindication for Probenecid?

Answer 8

Probenecid is contraindicated in patients with a history of kidney stones.

Question 9

Fill in the blank: The primary goal of gout treatment is to lower __________ levels.

Answer 9

uric acid.

Question 10

What is the action of Probenecid?

Answer 10

Probenecid increases the excretion of uric acid by the kidneys.

Question 11

What is the indication for Colchicine?

Answer 11

Colchicine is indicated for acute gout flares.

Question 12

What should be monitored when a patient is on Allopurinol?

Answer 12

Uric acid levels and renal function.

Question 13

True or False: Febuxostat is preferred over Allopurinol in patients with renal impairment.

Answer 13

True.

Question 14

What adverse effect can occur with prolonged use of Allopurinol?

Answer 14

Hypersensitivity reactions, including Stevens-Johnson syndrome.

Question 15

What dietary recommendation is often given to patients with gout?

Answer 15

Limit intake of purine-rich foods such as red meat and seafood.

Question 16

What is a common side effect of Probenecid?

Answer 16

Headache and gastrointestinal discomfort.

Question 17

What should be avoided when taking Colchicine?

Answer 17

Grapefruit juice, as it can increase the risk of toxicity.

Question 18

Fill in the blank: Gout is often associated with __________ and hypertension.

Answer 18

obesity.

Question 19

What is the first-line treatment for acute gout attacks?

Answer 19

Colchicine or NSAIDs.

Question 20

What is the action of Febuxostat?

Answer 20

Febuxostat inhibits xanthine oxidase, reducing uric acid production.

Question 21

What should a nurse assess before administering Allopurinol?

Answer 21

History of hypersensitivity reactions to the medication.

Question 22

True or False: Gout can lead to joint destruction if untreated.

Answer 22

True.

Question 23

What is an important nursing consideration for patients taking Probenecid?

Answer 23

Ensure adequate hydration to prevent kidney stones.

Question 24

What lifestyle change can help manage gout symptoms?

Answer 24

Increased fluid intake.

Question 25

What is a contraindication for using Colchicine?

Answer 25

Severe renal impairment.

Question 26

Fill in the blank: The buildup of uric acid in the blood is known as __________.

Answer 26

hyperuricemia.

Question 27

What is the mechanism of action of Allopurinol?

Answer 27

Allopurinol inhibits the enzyme xanthine oxidase.

Question 28

What is the recommended duration for colchicine treatment during an acute attack?

Answer 28

No more than 3 days.

Question 29

True or False: Febuxostat can be used to treat acute gout attacks.

Answer 29

False.

Question 30

What is a common symptom of a gout attack?

Answer 30

Severe pain in the affected joint, often the big toe.

Question 31

What is the primary benefit of using Probenecid?

Answer 31

It helps to lower uric acid levels by increasing uric acid excretion.

Question 32

Fill in the blank: Patients with gout should avoid __________ drinks.

Answer 32

alcoholic.

Question 33

What is a serious adverse effect of Allopurinol that requires immediate medical attention?

Answer 33

Severe skin rash or allergic reaction.

Question 34

How does lifestyle modification impact the management of gout?

Answer 34

It can significantly reduce the frequency and severity of attacks.

Question 35

What is the role of NSAIDs in gout management?

Answer 35

They are used to relieve pain and inflammation during acute attacks.

Question 36

What should patients be educated about when taking Febuxostat?

Answer 36

The importance of regular follow-up for liver function tests.

Question 37

What is the effect of dehydration on gout?

Answer 37

Dehydration can exacerbate gout symptoms by increasing uric acid concentration.

Question 38

Fill in the blank: __________ is a common non-pharmacological treatment for gout.

Answer 38

Rest and ice application.