Problem 1: According to the Oxford Handbook of Clinical Medicine, a clinical study for the treatment of osteoarthritis conducted by the New England Journal of Medicine found that glucosamine and chondroitin sulphate were ineffective. Is there a purpose that can still be served by these compounds?
Problem 2: In patients with established rheumatoid arthritis who are currently experiencing remission, might high blood titres of C-reactive protein (CRP) in the presence of normal erythrocyte sedimentation rate (ESR) suggest a return of rheumatoid arthritis?
Problem 3: When it comes to making a diagnosis of gout, what is the role that hyperuricaemia plays as a positive predictive factor?
Problem 4: What exactly is meant by the term "Scheuermann's disease" (Question 63)? And is this an illness that can be identified clinically, radiologically, or haematologically? What kind of medicine is used to treat this illness?
Question 5: How do you figure out the plasma creatinine clearance number based on the patient's body weight at the bedside?
Question 6: Can you tell me whether the practice of giving modest doses of dopamine to patients in order to improve renal blood flow is regarded outdated in today's medical community?
Question 7: Why does hemoglobinuria lead to a lack of urine output (anuria)?
Question 8: Concerning the use of a "high-protein diet" in the treatment of nephrotic syndrome, I do not fully understand the implications of this treatment. You argue that there is no benefit to using it, yet the Oxford Handbook of Clinical Medicine recommends using it, and Davidson's Principles and Practice of Medicine warns that using it might even be harmful since it could cause damage to the kidneys. In the event that I come across the question in a multiple-choice quiz, which answer should I select?
Question 9: Is it dangerous to provide an albumin infusion to a patient who has nephrotic syndrome? If this is not the case, then what are the signs?
Question 10: It has been reported that high dosages of captopril may generate an immune-complexmediated membranous glomerulonephritis, which is one of the causes of nephrotic syndrome. This information can be found on the list of medication causes of nephrotic syndrome. Is it dangerous to provide captopril, a therapy for hypertension, to a patient who has nephrotic syndrome and who also suffers from hypertension? Is it possible that this will make the patient's nephrotic condition worse?