A 45-Year-Old Man with a History of Recurrent Gouty Arthritis

question 183

Multiple Choice

A 45-year-old man with a history of recurrent gouty arthritis comes to the physician for a follow-up examination. Two months ago, he had an episode of big toe swelling and pain . Since then, he has had another acute gout attack, which resolved after treatment with ibuprofen. His temperature is 37.1°C (98.8°F) . Physical examination shows painless, chalky nodules on the metatarsophalangeal joint of his right foot. Past medical history is notable for hypercholesterolemia, for which he takes atorvastatin.  He also has a history of recurrent renal colic.   Serum uric acid level is 9.8 mg/dL.  Which of the following is the best agent for long-term management of this patient?

• A)Antibiotics
• B)Cyclooxygenase inhibitor
• C)Glucocorticoid
• D)Lipoxygenase antagonist
• E)Uricosuric agents
• F)Xanthine oxidase inhibitor

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Definitions:

Sect

Group that has broken off from an established church.

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A formal organization that sees itself and is seen by society as a primary and legitimate religious institution.

Organizational Structure

The system used to define a hierarchy within an organization, outlining the roles, responsibilities, and relationships between individuals within an entity.

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A sociological perspective that focuses on how individuals interpret and attribute meanings to symbols, behaviors, and events within their social interactions.