A Patient with Gout and Impaired Renal Function Who Uses

question 2

Multiple Choice

A patient with gout and impaired renal function who uses urate-lowering therapy (ULT) is experiencing an acute gout flare involving one joint. What is the recommended treatment?

• A) Administration of intraarticular corticosteroid
• B) Discontinuing ULT while treating the flare
• C) Oral colchicine for 5 days
• D) Therapy with NSAIDs begun within 24 hours

Distinguish between enantiomers and diastereomers.

Apply the Cahn-Ingold-Prelog priority system to assign R and S configurations to chiral centers.

Understand and identify meso compounds.

Draw structures of enantiomers and diastereomers with proper stereochemical detail.