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 89 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

amynguyen1221

  • Member
  • Posts: 355
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

The liver in this photograph was from a deceased patient with an advanced state of cirrhosis. The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Thyroid scan. The right image is the data from a thyroid scan, printed on a superimposed map of the Thyroid scan. The right image is the data from a thyroid scan, printed on a superimposed map of the
the fatty acid molecules expose the smallest possible hydrophobic surface area the fatty acid molecules expose the smallest possible hydrophobic surface area
Building competency in patient centered care Building competency in patient centered care
Empathy draws a more positive response from the patient because it is based on the willingness of th Empathy draws a more positive response from the patient because it is based on the willingness of th
Oleic acid Oleic acid
Video: Types of Burns

For a complete list of videos, visit our video library