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Chapter 48. Gout

Which of the following is the generic name for Colcrys?

a. Probenecid

b. Colchicine

c. Sulindac

d. Febuxostat

Answer b is correct. Colchicine is the generic name for Colcrys.

Answer a is incorrect. Probenecid is the generic name for Benamid.

Answers c is incorrect. Sulindac is the generic name for Clinoril.

Answer d is incorrect. Febuxostat is the generic name for Uloric.

JJ is a patient who is receiving medication therapy management services from your pharmacy. Since he has a past medical history of gout, which of the following foods should you counsel him to avoid eating as it contains a high purine content?

a. Liver

b. Apple

c. Popcorn

d. Potatoes

Answer a is correct. Red meats, particularly organ meats, have high purine content and should be avoided in patients with gout.

Answers b, c, and d are incorrect. These foods have low purine content.

A 76-year-old woman with a 10-year history of gout presents to the clinic with painful MSU crystal deposits in her hand. Which of the following terms most accurately describes this complication of gout?

a. Atheromas

b. Podagra

c. Tophi

d. Uric acid nephrolithiasis

Answer c is correct. Tophi are painful MSU crystals which deposit in the skin and can cause tissue damage. These complications often occur in patients with long-standing hyperuricemia and chronic gout.

Answer a is incorrect. Atheroma is a lipid deposit within the arterial wall and is not related to gout.

Answer b is incorrect. Podagra is a term used to describe gout-related symptoms in the great toe.

Answer d is incorrect. Uric acid nephrolithiasis is a complication of gout characterized by MSU crystal deposits in the kidney which can contribute to renal failure.

A 60-year-old man presents to the pharmacy with a past medical history of hypertension and gout. After reviewing his medication profile, which of the following medications is most likely to cause elevated SUA levels?

a. Hydrochlorothiazide

b. Lisinopril

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