NBME 16 Drinking home-distilled liquor (NBME Answers)

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Retired NBME Answer Explanations

Retired NBME 16 Answers

nbme16/Block 2/Question#2 (reveal difficulty score)
A 76-year-old man comes to the physician for ...
Drinking home-distilled liquor 🔍 / 📺 / 🌳 / 📖
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submitted by ∗cassdawg(1781)

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This man has gout, and acute attacks of gout can be triggered by alcohol consumption as alcohol metabolites compete for excretion with uric acid in the kidney (FA2020 p467). Uric acid levels can be normal during acute attacks (as in this patient).

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leap1608 Remember "RED Vine" for triggers of gout.(2 words, 3 clues) 1.RED meat 2.Von gierke dz (moa: hypoglycemia--lactic acidosis--inc activity of URAT1 transporter in kidney-- inc reabsorption of Uric acid) and 3.Alcohol (red wine) +1

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