WorksheetsGout
Total questions: 10
Worksheet time: 3mins
What is the definitive diagnosis test for gout?
Serum uric acid
Joint aspiration
Typical features from the xray
Clinical diagnosis
A 34 year old gentleman with no known medical illness, presents with acute pain over his big toe. You have made a diagnosis of acute gouty arthritis.
What is your initial management?
Tablet Diclofenac
Tablet Allupurinol
Tablet Colchicine
Tablet Prednisolone
A 38 year old healthy man comes to review his blood test. His serum uric acid is 600 umol/L (214-488). He has no symptom. What should you do now?
Advise him to avoid high purine foods
Start him on Tablet Allupurinol
Start him on Tablet Cochicine
Repeat the blood test tomorrow
Which is the following NOT the indication to start patient on hyouricaemic drugs?
Had two previous episodes of acute gouty arthritis in one year
Chronic tophaceous arthritis
Urate nephropathy
Radiology evidence of erosive gouty arthritis
Which are the following clinical criteria that you use to diagnose a patient with gout?
You may choose more than 1 answer
a clear observation of podagra
presence of a tophus
rapid response to cochicine within 48hours of starting treatment
history of pain precipitated with taking high purine diet
What are the recommended advice for a patient with gout?
You may choose more than 1 answer.
adequate fluid intake 2 to 3L a day
restrict in taking purine rich vegetables
Consumption of low fat daily products
moderate in taking high purine food
A 45 year old gentleman presents to you for treatment of his joint problem. He has underlying gastritis.
He has no pain now. You plan to start him on medication.
Please choose what medication/s that you want to prescribe.
Tablet Allupurinol
Tablet Colchicine
Tablet Prednisolone
Tablet Diclofenac
Which are the medical conditions that are associated with asymptomatic hyperuricaemia/gout?
Diabetes mellitus/impaired glucose intolerance
Hypertension
Hyperthyroidism
polycystic kidney disease
What are the clinical features on elderly onset gout?
Choose 2 options
monoarticular in presentation
may have tophi during early presentation
associated with diuretics used or renal insufficiency
occur more in men
Which of the following is NOT the correct statement regarding hypouricaemic drug?
is a lifelong treatment
can reduce pain
should be continue during acute attack
need to start with Tablet Cochicine
