FNP Leik 2024/2025 Final Certification Board
Exam Review Questions with verified Answers
Secondary gout can be caused by all of the following conditions
except
A) psoriasis
B) hemolytic anemia
C) bacterial cellulitis
D) renal failure - correct answer C) bacterial cellulitis
psoriasis increases catabolism and purine turnover
renal failure decreases uric acid clearance
The clinical presentation of acute gouty arthritis affecting the
base of the great toe includes
A) slow onset of discomfort over many days
B) the greatest swelling and pain along the median aspect of the
joint
C) improvement of symptoms with joint rest
D) fever - correct answer B) the greatest swelling and pain
along the median aspect of the joint
The most helpful diagnostic test to perform during acute gouty
arthritis is
,A) ESR
B) serum uric acid
C) analysis of aspirate from the affected joint
D) joint x-ray - correct answer C) analysis of aspirate from
the affected joint
First-line therapy for treating patients with acute gouty arthritis
usually includes
A) aspirin
B) naproxen sodium
C) allopurinol
D) probenecid - correct answer B) naproxen sodium
Tophi are best described as
A) ulcerations originating on swollen joints
B) swollen lymph nodes
C) abscesses with one ore more openings draining pus onto the
skin
D) nontender, firm nodules located in soft tissue - correct
answer D) nontender, firm nodules located in soft tissue
Which of the following patients with acute gouty arthritis is the
best candidate for local corticosteroid injection?
,A) a 66-year old with a gastric ulcer
B) a 44-year old taking a thiazide diuretic
C) a 68-year old with T2DM
D) a 32-year old binge drinker - correct answer A) a 66-year
old with a gastric ulcer
The most common locations for tophi include all of the following
except
A) the auricles
B) the elbows
C) the extensor surface of the hands
D) the shoulders - correct answer D) the shoulders
Dietary recommendations for a person with gouty arthritis
include avoiding foods high in
A) artificial flavors and colors
B) purine
C) vitamin C
D) protein - correct answer B) purine
Which of the following dietary supplements is associated with
increased risk for gout?
, A) vitamin A
B) gingko biloba
C) brewer's yeast
D) glucosamine - correct answer C) brewer's yeast
Pseudogout is caused by the formation of what type of crystals in
joints?
A) uric acid
B) calcium oxalate
C) struvite
D) calcium pyrophosphate dihydrate - correct answer D)
calcium pyrophosphate dihydrate
Pseudogout has been linked with abnormal activity of the
A) liver
B) kidneys
C) parathyroid
D) adrenal glands - correct answer C) parathyroid
Differentiation between gout and pseudogout can involve all of
the following diagnostic approaches except
A) analysis of minerals in the blood
B) analysis of joint fluid
Exam Review Questions with verified Answers
Secondary gout can be caused by all of the following conditions
except
A) psoriasis
B) hemolytic anemia
C) bacterial cellulitis
D) renal failure - correct answer C) bacterial cellulitis
psoriasis increases catabolism and purine turnover
renal failure decreases uric acid clearance
The clinical presentation of acute gouty arthritis affecting the
base of the great toe includes
A) slow onset of discomfort over many days
B) the greatest swelling and pain along the median aspect of the
joint
C) improvement of symptoms with joint rest
D) fever - correct answer B) the greatest swelling and pain
along the median aspect of the joint
The most helpful diagnostic test to perform during acute gouty
arthritis is
,A) ESR
B) serum uric acid
C) analysis of aspirate from the affected joint
D) joint x-ray - correct answer C) analysis of aspirate from
the affected joint
First-line therapy for treating patients with acute gouty arthritis
usually includes
A) aspirin
B) naproxen sodium
C) allopurinol
D) probenecid - correct answer B) naproxen sodium
Tophi are best described as
A) ulcerations originating on swollen joints
B) swollen lymph nodes
C) abscesses with one ore more openings draining pus onto the
skin
D) nontender, firm nodules located in soft tissue - correct
answer D) nontender, firm nodules located in soft tissue
Which of the following patients with acute gouty arthritis is the
best candidate for local corticosteroid injection?
,A) a 66-year old with a gastric ulcer
B) a 44-year old taking a thiazide diuretic
C) a 68-year old with T2DM
D) a 32-year old binge drinker - correct answer A) a 66-year
old with a gastric ulcer
The most common locations for tophi include all of the following
except
A) the auricles
B) the elbows
C) the extensor surface of the hands
D) the shoulders - correct answer D) the shoulders
Dietary recommendations for a person with gouty arthritis
include avoiding foods high in
A) artificial flavors and colors
B) purine
C) vitamin C
D) protein - correct answer B) purine
Which of the following dietary supplements is associated with
increased risk for gout?
, A) vitamin A
B) gingko biloba
C) brewer's yeast
D) glucosamine - correct answer C) brewer's yeast
Pseudogout is caused by the formation of what type of crystals in
joints?
A) uric acid
B) calcium oxalate
C) struvite
D) calcium pyrophosphate dihydrate - correct answer D)
calcium pyrophosphate dihydrate
Pseudogout has been linked with abnormal activity of the
A) liver
B) kidneys
C) parathyroid
D) adrenal glands - correct answer C) parathyroid
Differentiation between gout and pseudogout can involve all of
the following diagnostic approaches except
A) analysis of minerals in the blood
B) analysis of joint fluid
