Theme: Uric Acid Metabolism

OPTION LIST

A	Colchicine	I	Myelofibrosis
B	Bendroflumethiazide	J	Pyrazinamide
C	Lesch-Nyhan syndrome	K
D	Probeneciol	L
E	Guaifenisin	M
F	Sulfinpyrazione	N
G	Allopurinol	O
H	Tumour lysis syndrome	P

What is the most likely cause for each of these cases?

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 55 year old man complains of left loin to groin pain soon after starting medication for a productive cough.

2. A 55 year old chronic hypertensive man presents with 2 attacks of sudden excruciating pain in his left big toe in the past fortnight.

3. A 55 year old man, recently diagnosed with chronic lymphocytic leukaemia, presents with proteinuria, hypoalbuminuria and oedema.

4. A 2 year old boy with severe learning difficulties is found to have gout and renal failure.

5. A 55 year old man, who recently immigrated from Pakistan, presented to his GP 4 months ago with haemoptysis. He now presents with recurrent acute attacks of excruciating pain in his left big toe.

ANSWERS

1.

2.

3.

4.

5.