NUR 6121 EXAMINATION (NUR 6121) EXAM QUESTIONS
AND ANSWERS
What is gout? - ANSWER>>A systemic hereditary autoimmune metabolic disease
caused by deposition of monosodium urate crystals due to hyperuricemia.
What uric acid level causes crystal formation? - ANSWER>>>6.8 mg/dL
What causes hyperuricemia? - ANSWER>>Increased uric acid production,
decreased renal excretion, or both.
Does hyperuricemia always cause gout? - ANSWER>>No, it can be asymptomatic
for years.
Primary hyperuricemia cause? - ANSWER>>Inborn metabolic error.
Secondary hyperuricemia cause? - ANSWER>>Disease or medications.
Most common inflammatory arthritis - ANSWER>>Gout
Most common joint affected in gout - ANSWER>>1st MTP joint (podagra)
Classic gout flare symptoms - ANSWER>>Pain, redness, swelling, warmth,
decreased ROM.
When do gout flares often occur? - ANSWER>>At night
Gold standard for gout diagnosis - ANSWER>>Needle aspiration showing MSU
crystals.
, Four stages of gout - ANSWER>>Asymptomatic hyperuricemia, Acute flare,
Intercritical gout, Chronic tophaceous gout.
First-line treatment for acute gout - ANSWER>>NSAIDs
Colchicine mechanism - ANSWER>>Inhibits neutrophil migration.
Goal uric acid level in gout - ANSWER>>≤6 mg/dL
First-line urate-lowering therapy - ANSWER>>Allopurinol
When to start urate-lowering therapy - ANSWER>>6-8 weeks after flare resolves.
Most common cause of low back pain - ANSWER>>Mechanical or degenerative
causes.
Most common spinal levels affected - ANSWER>>L4-L5 and L5-S1
Acute low back pain duration - ANSWER>><6 weeks
Subacute low back pain duration - ANSWER>>6-12 weeks
Chronic low back pain duration - ANSWER>>>3 months
Straight leg test evaluates - ANSWER>>L5-S1 radiculopathy
Femoral nerve stretch evaluates - ANSWER>>L2-L4
Red flag for cauda equina - ANSWER>>Saddle anesthesia or bladder dysfunction
First-line treatment for low back pain - ANSWER>>NSAIDs
Bed rest for low back pain - ANSWER>>Not recommended
AND ANSWERS
What is gout? - ANSWER>>A systemic hereditary autoimmune metabolic disease
caused by deposition of monosodium urate crystals due to hyperuricemia.
What uric acid level causes crystal formation? - ANSWER>>>6.8 mg/dL
What causes hyperuricemia? - ANSWER>>Increased uric acid production,
decreased renal excretion, or both.
Does hyperuricemia always cause gout? - ANSWER>>No, it can be asymptomatic
for years.
Primary hyperuricemia cause? - ANSWER>>Inborn metabolic error.
Secondary hyperuricemia cause? - ANSWER>>Disease or medications.
Most common inflammatory arthritis - ANSWER>>Gout
Most common joint affected in gout - ANSWER>>1st MTP joint (podagra)
Classic gout flare symptoms - ANSWER>>Pain, redness, swelling, warmth,
decreased ROM.
When do gout flares often occur? - ANSWER>>At night
Gold standard for gout diagnosis - ANSWER>>Needle aspiration showing MSU
crystals.
, Four stages of gout - ANSWER>>Asymptomatic hyperuricemia, Acute flare,
Intercritical gout, Chronic tophaceous gout.
First-line treatment for acute gout - ANSWER>>NSAIDs
Colchicine mechanism - ANSWER>>Inhibits neutrophil migration.
Goal uric acid level in gout - ANSWER>>≤6 mg/dL
First-line urate-lowering therapy - ANSWER>>Allopurinol
When to start urate-lowering therapy - ANSWER>>6-8 weeks after flare resolves.
Most common cause of low back pain - ANSWER>>Mechanical or degenerative
causes.
Most common spinal levels affected - ANSWER>>L4-L5 and L5-S1
Acute low back pain duration - ANSWER>><6 weeks
Subacute low back pain duration - ANSWER>>6-12 weeks
Chronic low back pain duration - ANSWER>>>3 months
Straight leg test evaluates - ANSWER>>L5-S1 radiculopathy
Femoral nerve stretch evaluates - ANSWER>>L2-L4
Red flag for cauda equina - ANSWER>>Saddle anesthesia or bladder dysfunction
First-line treatment for low back pain - ANSWER>>NSAIDs
Bed rest for low back pain - ANSWER>>Not recommended
