A 72-year-old female patient has been diagnosed with gout. She also has a long history of chronic congestive heart failure. The most likely contributing factor to the development of gout in this older female is
A. Lead intoxication
B. Illegal whiskey
C. Binge-eating
D. Thiazide diuretics
Question 2The best method of verifying a diagnosis of gout in a joint is which of the following
A. Radiographic examination of the joint with two views
B. Ultrasound
C. Palpation
D. Joint aspiration and polarized-light microscopy
Question 3The most appropriate first-line treatment for an acute gout flare is (assuming no kidney disease or elevated bleeding risk)
A. Indomethacin 50 mg TID for 2 days; then 25 mg TID for 3 days
B. Doxycycline 100 mg BID for 5 days
C. Prednisolone 35 mg QD for 5 days
D. Ice therapy
Question 4The nurse practitioner orders bilateral wrist X-rays on a 69-year-old gentleman complaining of pain in both wrists for the past 6 weeks not related to any known trauma.
The nurse practitioner suspects elderly onset rheumatoid arthritis. The initial radiographic finding in a patient with elderly onset rheumatoid arthritis would be:
A. Symmetric joint space narrowing
B. Soft tissue swelling
C. Subluxations of the joints
D. Joint erosions
Question 5Which of the following is the most appropriate laboratory test for monitoring gout therapy over the long-term?
A. Erythrocyte sedimentation rate (ESR)
B. Completer blood count (CBC)
C. Serum urate level
D. Serum albumin
Question 6In providing health teaching related to dietary restrictions, the nurse practitioner should advise a patient with gout to avoid which of the following dietary items
A. Green leafy vegetables
B. Beer, sausage, fried seafood
C. Sugar
D. Gluten and bread items
Quick Reply
