If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

Web ydr.org.uk acesforpaces.com medicalrevision.org

BOF: 25

A sixty five year old male who is on treatment for chronic heart failure with diuretics, angiotensin converting enzyme inhibitors, beta-blockers and spironolactone presents with sudden onset of pain and swelling of the metatarso-phalangeal joint of his right big toe. Aspiration of the joint demonstrates crystals of monosodium urate.

In this patient:

a)      Moderate doses of aspirin would be beneficial

b)      Non-steroidal anti-inflammatory digs would be the drugs of first choice

c)      Highly selective cyclooxygenase 2 inhibitor should be used

d)      Colchicine would be the best choice

e)      Parenteral colchicine may be safely used to counter nausea and diarrhoea

Back
Up
Next

[ Up ] [ Answer ]