MCQ Answer 1

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The correct answer is C

Explanation
  • Low-dose aspirin (up to 1-2 g/day) decreases renal urate excretion, especially in the setting of low albumin.
  • Paradoxically, high-dose aspirin actually has a uricosuric effect, leading to an increase in urate excretion.
  • Estrogen also exerts a uricosuric effect.
  • It is possible that declining use of postmenopausal estrogen replacement may lead to an increase in postmenopausal gout and an earlier age of onset.
  • Cardiovascular drugs, losartan and fenofibrate, also have uricosuric effects.

Category: Pharmacology MCQs

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