Gout Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 57-year-old man presents to the primary care clinic due to sudden-onset severe pain, swelling, and redness in his left big toe. He reports that the pain started 8 hours ago and has progressively worsened. He has no fevers or chills. His past medical history is significant for hypertension for which he is taking hydrochlorothiazide. He does not smoke or drink alcohol. Temperature is 37.4°C (98.9°F), blood pressure is 133/79 mmHg, pulse is 90/min, respiratory rate is 18/min, and oxygen saturation is 96% on room air. Physical examination is significant for tenderness, swelling, and erythema of the first metatarsophalangeal joint of the left foot. There is limitation to both passive and active range of motion. Laboratory results are significant for mild leukocytosis and a serum uric acid level of 9.5 mg/dL. Which of the following is the best next step in management?
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