JZ is a 78-year-old obese male diagnosed with an acute attack of gout. His past medical history includes hypertension and heart failure. He is currently taking enalapril 5 mg, atenolol 100 mg, bendroflumethiazide 5 mg, and enteric-coated aspirin 75 mg daily. To manage the gout flare, he has been prescribed colchicine 500 micrograms twice daily for six days.
Which of the following may precipitate gout in JZ?
A. Heart failure, bendroflumethiazide, and excessive consumption of meat
B. Heart failure and bendroflumethiazide only
C. Bendroflumethiazide and excessive consumption of meat only
D. Heart failure only
E. Excessive consumption of meat only
Which of the following statements about the presentation of gout is correct?
A. It presents as a painful condition in the big toe, has an insidious onset, and recurrence is rare
B. It presents as a painful condition in the big toe and has an insidious onset
C. Onset is insidious and recurrence is rare
D. It presents as a painful condition in the big toe only
E. Recurrence is rare only
A
D
A
D
A
D
A
D
1.A
2.D
A
D
A
D
A for the first
D for the second