MUSCULOSKELETAL/RHEUM - PRIMARY CARE REVIEW QUESTIONS AND ANSWERS 2022

MUSCULOSKELETAL/RHEUM - PRIMARY CARE REVIEW QUESTIONS AND ANSWERS 2022 A 75 year-old female presents with complaints of stiffness, aching, and pain in the muscles of her neck, shoulders, lower back, hips, and thighs. There is no associated weakness associated with the stiffness and achiness. Laboratory evaluation shows an elevated C reactive protein and erythrocyte sedimentation rate. Which of the following medications is used to treat this condition immediately and will also serve to prevent a known complication from this disorder? Methotrexate (Rheumatrex) Azathioprine (Imuran) Cyclophosphamide (Cytoxan) Glucocorticoids - ANS-Glucocorticoids A 51- year-old man recently underwent a physical examination during which you obtained a routine chemistry profile. All values were normal except for a serum uric acid of 7.5 mg /dL. He has no history of gouty arthritis, renal disease, or urolithiasis. The most appropriate management of this problem would be to: Begin Probenecid therapy to prevent renal stone formation Initiate therapy with Allopurinol to prevent urate nephropathy Follow the patient expectantly without pharmacologic intervention Treat the patient with prophylactic indomethacin to prevent gout None of the above - ANS-Follow the patient expectantly without pharmacologic intervention A 52 year-old male presents with a severely painful, swollen right great toe. He denies recent trauma, but reports several similar episodes of toe pain and swelling over the past two to three years. He has a history of alcohol abuse and hypertension, for which he "takes medication" of unknown type. Examination reveals bright erythema and edema associated with the right first MCP joint. Which of the patient's antihypertensive medications may be contributing to this condition? Hydrochlorothiazide (HCTZ) Lisinopril (Prinivil) Metoprolol (Lopressor) Diltiazem (Cardizem) - ANS-Hydrochlorothiazide (HCTZ) Disease-modifying antirheumatic drugs(DMARDS) include all of the following EXCEPT? Hydroxychloroquine NSAID's Methrotrexate Sulfasalazine D-penicillamine - ANS-NSAID's CONTINUES...