A 56-Year-Old Man Comes to the Emergency Department with Acute

question 477

Multiple Choice

A 56-year-old man comes to the emergency department with acute onset of severe right foot pain.  The pain is associated with local redness and swelling, but he has had no fever or recent trauma.  The patient has never had similar symptoms.  Medical history is significant for type 2 diabetes mellitus, mixed hyperlipidemia, hypertension, and coronary artery disease, for which he takes several medications.  Physical examination shows a swollen, tender first metatarsophalangeal joint.  Aspiration reveals a high leukocyte count, negative Gram stain, and numerous needle-shaped negatively birefringent crystals.  Which of the following drugs is most likely to have precipitated this patient's condition?

• A)Atorvastatin
• B)Gemfibrozil
• C)Hydrochlorothiazide
• D)Losartan
• E)Metformin

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Definitions:

Time Deposits

Banking or financial instruments that require the holder to keep the money deposited for a fixed term or period of time, often offering higher interest rates than savings accounts.

Federal Reserve Banks

A system of 12 banks in the United States that serve as the central banking system, responsible for implementing monetary policy, regulating banks, and ensuring the stability of the financial system.

Money Supply

The total amount of monetary assets available in an economy at a specific time, including cash, bank deposits, and liquid assets held by the public.

Excess Reserves

The amount of reserves that a bank holds beyond the required minimum, often held in excess of reserve requirements set by central banking authorities.