This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Gout is diagnosed in a patient, and tests show the cause to be an underexcretion of uric acid. The ... (Read 41 times)

Mimi

  • Hero Member
  • *****
  • Posts: 542
on: Jul 24, 2018
Gout is diagnosed in a patient, and tests show the cause to be an underexcretion of uric acid. The primary care NP should prescribe:
 
  a. febuxostat (Uloric).
  b. colchicine (Colcrys).
  c. allopurinol (Zyloprim).
  d. probenecid (Benemid).

Question 2

A patient comes to the clinic reporting sudden pain and swelling of one knee joint. The primary care NP suspects gout. When preparing to order diagnostic tests, the most important initial test the primary care NP should order is:
 
  a. renal function tests.
  b. serum uric acid levels.
  c. 24-hour urine collection.
  d. synovial fluid aspirate for Gram stain and culture.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ynlevi

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
A uricosuric agent is indicated to increase the excretion of uric acid. Probenecid is a uricosuric medication. Febuxostat and allopurinol are xanthine oxidase inhibitors. Colchicine is not a uricosuric agent.

Answer to Question 2

D
Although the other tests are part of the diagnostic process, the most important differential diagnosis to be made in a patient with gout is the exclusion of a septic joint.


Mimi

  • Member
  • Posts: 542
Reply 2 on: Jul 24, 2018
YES! Correct, THANKS for helping me on my review

bbburns21

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Drying your hands with a paper towel will reduce the bacterial count on your hands by 45–60%.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

These bumper stickers show an allegiance to New Age religions These bumper stickers show an allegiance to New Age religions
Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel
Saturated and Unsaturated Fatty Acid Saturated and Unsaturated Fatty Acid
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm. Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm.
Video: Hierarchical Sequencing Method - Sequence Tagged Sites

For a complete list of videos, visit our video library