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Drugs for Rheumatic Diseases and Gout: Revision Scenarios, Multiple Choice and Short Questions

A pharmacology revision sheet on gout and rheumatoid arthritis: a 50-year-old man with recurrent acute gout in the big toe and raised serum urate, and a 32-year-old woman with three months of symmetrical wrist and finger swelling, morning stiffness and positive RF and anti-CCP. The questions ask for the history and investigations, how the NSAIDs, colchicine, allopurinol and methotrexate work, why the NSAIDs alone are not enough in rheumatoid arthritis, the monitoring methotrexate needs and why TB is screened before a biologic, with five multiple choice items and a table question on biologic against conventional DMARDs.

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