Med Surg 2/NURS 320 MIDTERM QUESTIONS WITH
COMPLETE SOLUTIONS
What is the underlying cause of Gouty arthritis?
Hyperuricemia: too much uric acid in the blood.
Also, a possible side-effect of Chemotherapy (along with Tumor
Lysis Syndrome**)
Gouty Attacks are caused by?
Gout is a Systemic disease caused by a disruption of purine
metabolism which increases Uric Acid production. A build-up
of monosodium urate crystals that deposited in the joints,
causing them to become red, hot, tender, and swollen.
Monosodium Urate crystals mainly affect what body structures?
Joints and Kidney tubules
The repeat of Gout Attacks can result in ?
The destruction of joints leading to Arthritis.
How are monosodium crystals formed?
1. increased consumption of purines
2. decreased clearance of Uric Acid
,3. Rx factors
4. Medications
What are the Risk factors of Gout?
1. DM
2. Obesity
3. Chemotherapy + radiation
4. Genetic predisposition
5. Chronic Kidney disease
6. ETOH Consumption.
7. Purines (Protein red meat/organ meats).
What are things you can teach your patient with gout that can
reduce the gouty attacks?
Stay hydrated, eat a balanced diet, exercise often, avoid alcohol
and high protein diets.
What area does gout affect first, or what is the most common
area affected by Gout?
1st metatarsal joint of the big toe (podagra)
What areas are affected in a patient with gout?
Big toe
Ankles
,Knees
Elbows
Wrist
What treatment can be used to manage gout?
1. NSAIDs ( ibuprofen or naproxen)
2. Corticosterioid
3. Colchicine (Acute)
4. Allpurinol (Chronic)
What medication is used for acute gout?
Colchicine
What medication is used for Chronic Gout?
Allopurinol
What is Tophi?
, Permanent urate crystals (sodium urate deposits) that form
along the bone and under the skin due to Chronic Gout.
This condition is a Chronic autoimmune disorder that attacks its
own joint, causing inflammation of the joints, specifically the
membrane lining the joint "synovium"
Rheumatoid Arthritis
RA tends to affect what areas of the body the most?
fingers and wrist
What areas can Rheumatoid Arthritis affect?
All possible joint are able to be affected
COMPLETE SOLUTIONS
What is the underlying cause of Gouty arthritis?
Hyperuricemia: too much uric acid in the blood.
Also, a possible side-effect of Chemotherapy (along with Tumor
Lysis Syndrome**)
Gouty Attacks are caused by?
Gout is a Systemic disease caused by a disruption of purine
metabolism which increases Uric Acid production. A build-up
of monosodium urate crystals that deposited in the joints,
causing them to become red, hot, tender, and swollen.
Monosodium Urate crystals mainly affect what body structures?
Joints and Kidney tubules
The repeat of Gout Attacks can result in ?
The destruction of joints leading to Arthritis.
How are monosodium crystals formed?
1. increased consumption of purines
2. decreased clearance of Uric Acid
,3. Rx factors
4. Medications
What are the Risk factors of Gout?
1. DM
2. Obesity
3. Chemotherapy + radiation
4. Genetic predisposition
5. Chronic Kidney disease
6. ETOH Consumption.
7. Purines (Protein red meat/organ meats).
What are things you can teach your patient with gout that can
reduce the gouty attacks?
Stay hydrated, eat a balanced diet, exercise often, avoid alcohol
and high protein diets.
What area does gout affect first, or what is the most common
area affected by Gout?
1st metatarsal joint of the big toe (podagra)
What areas are affected in a patient with gout?
Big toe
Ankles
,Knees
Elbows
Wrist
What treatment can be used to manage gout?
1. NSAIDs ( ibuprofen or naproxen)
2. Corticosterioid
3. Colchicine (Acute)
4. Allpurinol (Chronic)
What medication is used for acute gout?
Colchicine
What medication is used for Chronic Gout?
Allopurinol
What is Tophi?
, Permanent urate crystals (sodium urate deposits) that form
along the bone and under the skin due to Chronic Gout.
This condition is a Chronic autoimmune disorder that attacks its
own joint, causing inflammation of the joints, specifically the
membrane lining the joint "synovium"
Rheumatoid Arthritis
RA tends to affect what areas of the body the most?
fingers and wrist
What areas can Rheumatoid Arthritis affect?
All possible joint are able to be affected
