Discussion on acute gouty attack questions

Discussion on acute gouty attack questions
pressure. Which of the following is most appropriate
to administer?
A. Conivaptan
B. Furosemide
C. Indapamide
D. Mannitol
E. Methazolamide
7.8.6. A 58‐year‐old female complains of paresthesia,
drowsiness, and occasional nausea associated with
one of the drugs she is taking. She is found to have
hyperchloremic metabolic acidosis. Which of the
following drugs she is most likely taking?
A. Acetazolamide for glaucoma
B. Clopidogrel for post‐myocardial infarction
C. Hydrochlorothiazide for hypertension
D. Mannitol for cerebral edema
E. Torsemide for heart failure
7.8.7. A 68‐year‐old female with a history of heart disease
is brought into the emergency room because of
severe difficulty in breathing. Examination reveals
that she has pulmonary edema. Which of the following drugs should be given to improve her pulmonary
congestion?
A. Amiloride
B. Chlorthalidone
C. Furosemide
D. Hydrochlorothiazide
E. Spironolactone
7.8.8. A 60‐year‐old male has been placed on a diuretic to
control his high blood pressure. However, after a few
weeks, he develops an acute gouty attack. If the
gouty attack is precipitated by the diuretic therapy,
which of the following drugs has he most likely been
taking?
A. Dorzolamide
B. Eplerenone
C. Hydrochlorothiazide
D. Torsemide
E. Triamterene
7.8.9. A 55‐year‐old male has a history of frequent episodes of renal colic with calcium‐containing renal
stones. A careful workup indicates that he has a
defect in proximal tubular calcium reabsorption,
which results in high concentrations of calcium salts
in the tubular fluid. Which of the following is the
most useful diuretic agent in treating his condition?
A. Acetazolamide
B. Chlorthalidone
C. Furosemide
D. Spironolactone
E. Triamterene
7.8.10. A 71‐year‐old female is admitted to the emergency
department because of a “fainting spell” at home.
She does not appear to have suffered trauma from
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