Deck 8: Joints
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Deck 8: Joints
1
Synovial fluid is a viscous material that is derived by filtration from blood.
True
2
The amount of movement permitted by a particular joint is the basis for the functional classification of that joint.
True
3
The gripping of the trochlea by the trochlear notch constitutes the "hinge" for the elbow joint.
True
4
Flexion of the ankle so that the superior aspect of the foot approaches the shin is called dorsiflexion.
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5
Bending of the tip of the finger exhibits flexion.
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6
Supination is the movement of the forearm in which the palm of the hand is turned anteriorly or superiorly.
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7
Synovial fluid contains phagocytic cells that protect the cavity from invasion by microbes or other debris.
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8
The only movement allowed between the first two cervical vertebrae is flexion.
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9
A person who has been diagnosed with a sprained ankle has an injury to the ligaments that attach to that joint.
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10
Pronation is a much stronger movement than supination.
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11
All joints permit some degree of movement,even if very slight.
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12
A ball-and-socket joint is a multiaxial joint.
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13
The structural classification of joints is based on the composition of the binding material and the presence or absence of a joint cavity.
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14
The major role of ligaments at synovial joints is to unite bones and prevent undesirable movement.
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15
The articular surfaces of synovial joints play a minimal role in joint stability.
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16
A person who has been diagnosed with rheumatoid arthritis would be suffering loss of the synovial fluids.
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17
Movement at the hip joint does not have as wide a range of motion as at the shoulder joint.
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18
The wrist joint can exhibit adduction and eversion movements.
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19
Moving a limb so that it describes a cone in space is called circumduction.
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20
Hinge joints permit movement in only two planes.
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21
Synarthrotic joints ________.
A)characterize all cartilaginous joints
B)are found only in adults
C)have large joint cavities
D)are immovable joints
A)characterize all cartilaginous joints
B)are found only in adults
C)have large joint cavities
D)are immovable joints
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22
Articulations permitting only slight degrees of movement are ________.
A)synarthroses
B)amphiarthroses
C)diarthroses
D)synovial joints
A)synarthroses
B)amphiarthroses
C)diarthroses
D)synovial joints
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23
In symphysis joints the articular surfaces of the bones are covered with ________.
A)synovial membranes
B)fibrocartilage
C)tendon sheaths
D)hyaline cartilage
A)synovial membranes
B)fibrocartilage
C)tendon sheaths
D)hyaline cartilage
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24
On the basis of structural classification,which is a fibrous joint?
A)pivot
B)syndesmosis
C)symphysis
D)synchondrosis
A)pivot
B)syndesmosis
C)symphysis
D)synchondrosis
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25
Which of the following are cartilaginous joints?
A)syndesmoses
B)gomphoses
C)synchondroses
D)sutures
A)syndesmoses
B)gomphoses
C)synchondroses
D)sutures
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26
In the classification of joints,which of the following is true?
A)In cartilaginous joints,a joint cavity is present.
B)All synovial joints are freely movable.
C)Synarthrotic joints are slightly movable.
D)Immovable joints are called amphiarthroses.
A)In cartilaginous joints,a joint cavity is present.
B)All synovial joints are freely movable.
C)Synarthrotic joints are slightly movable.
D)Immovable joints are called amphiarthroses.
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27
The gliding motion of the wrist uses ________ joints.
A)pivot
B)hinge
C)plane
D)condyloid
A)pivot
B)hinge
C)plane
D)condyloid
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28
Which of the following statements defines synchondroses?
A)joints that permit angular movements
B)interphalangeal joints
C)amphiarthrotic joints designed for strength and flexibility
D)cartilaginous joints where hyaline cartilage unites the ends of bones
A)joints that permit angular movements
B)interphalangeal joints
C)amphiarthrotic joints designed for strength and flexibility
D)cartilaginous joints where hyaline cartilage unites the ends of bones
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29
Dislocations in the TMJ almost always dislocate posteriorly with the mandibular condyles ending up in the infratemporal fossa.
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30
What are menisci (articular discs)?
A)wedges of fibrocartilage that partially or completely divide the synovial cavity
B)small sacs containing synovial fluid
C)cavities lined with cartilage
D)tendon sheaths
A)wedges of fibrocartilage that partially or completely divide the synovial cavity
B)small sacs containing synovial fluid
C)cavities lined with cartilage
D)tendon sheaths
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31
Synovial fluid is present in joint cavities of freely movable joints.Which of the following statements is true about this fluid?
A)It contains hyaluronic acid.
B)It contains hydrochloric acid.
C)It contains lactic acid.
D)It contains enzymes only.
A)It contains hyaluronic acid.
B)It contains hydrochloric acid.
C)It contains lactic acid.
D)It contains enzymes only.
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32
Connective tissue sacs lined with synovial membrane that act as cushions in places where friction develops are called ________.
A)menisci
B)ligaments
C)tendons
D)bursae
A)menisci
B)ligaments
C)tendons
D)bursae
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33
What is moving a limb away from the midline of the body along the frontal plane called?
A)flexion
B)abduction
C)extension
D)adduction
A)flexion
B)abduction
C)extension
D)adduction
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34
A joint united by fibrocartilage tissue that usually permits a slight degree of movement is a ________.
A)symphysis
B)gomphosis
C)suture
D)syndesmosis
A)symphysis
B)gomphosis
C)suture
D)syndesmosis
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35
Bending your head back until it hurts is an example of ________.
A)circumduction
B)extension
C)hyperextension
D)flexion
A)circumduction
B)extension
C)hyperextension
D)flexion
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36
Fibrous joints are classified as ________.
A)hinge,saddle,and ellipsoidal
B)sutures,syndesmoses,and gomphoses
C)symphysis,sacroiliac,and articular
D)pivot,hinge,and ball and socket
A)hinge,saddle,and ellipsoidal
B)sutures,syndesmoses,and gomphoses
C)symphysis,sacroiliac,and articular
D)pivot,hinge,and ball and socket
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37
Symphyses are synarthrotic joints designed for strength with flexibility.
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38
The cruciate ligaments of the knee ________.
A)are also called collateral ligaments
B)prevent hyperextension of the knee
C)tend to run parallel to one another
D)attach to each other in their midportions
A)are also called collateral ligaments
B)prevent hyperextension of the knee
C)tend to run parallel to one another
D)attach to each other in their midportions
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39
The ligaments that protect the alignment of the femoral and tibial condyles and limit the movement of the femur anteriorly and posteriorly are called ________.
A)anterior ligaments
B)cruciate ligaments
C)tibial collateral ligaments
D)patellar ligaments
A)anterior ligaments
B)cruciate ligaments
C)tibial collateral ligaments
D)patellar ligaments
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40
Which of the following is a true statement regarding gliding movements?
A)Gliding movements allow flexibility of the upper limbs.
B)Gliding movements occur at the intercarpal and intertarsal joints.
C)An example of a gliding movement is nodding one's head.
D)Gliding movements are multiaxial.
A)Gliding movements allow flexibility of the upper limbs.
B)Gliding movements occur at the intercarpal and intertarsal joints.
C)An example of a gliding movement is nodding one's head.
D)Gliding movements are multiaxial.
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41
Saddle joints have concave and convex surfaces.Identify a saddle joint of the skeleton.
A)carpometacarpal joint of the phalanges
B)carpometacarpal joint of the thumb
C)metacarpophalangeal joint of the finger
D)interphalangeal joint of the finger
A)carpometacarpal joint of the phalanges
B)carpometacarpal joint of the thumb
C)metacarpophalangeal joint of the finger
D)interphalangeal joint of the finger
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42
Compared to the shoulder,displacements of the hip joints are ________.
A)rare because of the ligament reinforcement
B)common due to the weight bearing the hip endures
C)rare because the rotator cuff stabilizes the hip joint
D)common in all people who are overweight
A)rare because of the ligament reinforcement
B)common due to the weight bearing the hip endures
C)rare because the rotator cuff stabilizes the hip joint
D)common in all people who are overweight
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43
Football players often sustain lateral blows to the extended knee.Which of the following is (are)damaged as a result?
A)tibial collateral ligament,medial meniscus,and anterior cruciate ligament
B)arcuate popliteal and the posterior cruciate ligaments
C)suprapatellar ligament
D)oblique popliteal and extracapsular ligaments
A)tibial collateral ligament,medial meniscus,and anterior cruciate ligament
B)arcuate popliteal and the posterior cruciate ligaments
C)suprapatellar ligament
D)oblique popliteal and extracapsular ligaments
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44
All of the following are factors that influence synovial joint stability EXCEPT?
A)structure and shape of the articulating bone
B)strength and tension of joint ligaments
C)arrangement and tension of the muscles
D)number of bones in the joint
A)structure and shape of the articulating bone
B)strength and tension of joint ligaments
C)arrangement and tension of the muscles
D)number of bones in the joint
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45
Which of the following is NOT strictly a part of a synovial joint?
A)articular cartilage
B)tendon sheath
C)joint (articular)cavity
D)articular (joint)capsule
A)articular cartilage
B)tendon sheath
C)joint (articular)cavity
D)articular (joint)capsule
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46
An example of an interosseous fibrous joint is ________.
A)the clavicle and the scapula at the distal ends
B)between the vertebrae
C)the radius and ulna along its length
D)between the humerus and the glenoid cavity
A)the clavicle and the scapula at the distal ends
B)between the vertebrae
C)the radius and ulna along its length
D)between the humerus and the glenoid cavity
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47
Moving your jaw forward,causing an underbite,is called ________.
A)pronation
B)retraction
C)adduction
D)protraction
A)pronation
B)retraction
C)adduction
D)protraction
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48
Which of the following statements best describes angular movements?
A)They change (increase or decrease)the angle between two bones.
B)They occur only between bones with flat articular processes.
C)They turn a bone along its own long axis.
D)They allow movement only in one plane.
A)They change (increase or decrease)the angle between two bones.
B)They occur only between bones with flat articular processes.
C)They turn a bone along its own long axis.
D)They allow movement only in one plane.
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49
The terms inversion and eversion pertain only to the ________.
A)arms
B)feet
C)hands
D)hands and the feet
A)arms
B)feet
C)hands
D)hands and the feet
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50
Which of the following movements does NOT increase or decrease the angle between bones?
A)extension
B)rotation
C)abduction
D)circumduction
A)extension
B)rotation
C)abduction
D)circumduction
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51
The hip joint is a good example of a(n)________ synovial joint.
A)uniaxial
B)biaxial
C)multiaxial
D)nonaxial
A)uniaxial
B)biaxial
C)multiaxial
D)nonaxial
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52
Tendon sheaths ________.
A)act as friction-reducing structures
B)help anchor the tendon to the muscle
C)are lined with dense irregular connective tissue
D)are extensions of periosteum
A)act as friction-reducing structures
B)help anchor the tendon to the muscle
C)are lined with dense irregular connective tissue
D)are extensions of periosteum
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53
Extracapsular ligaments stabilizing the knee include ________.
A)the patellar ligament extending from femur to patella
B)cruciate ligaments,which help secure the articulating bones together
C)fibular and tibial collateral ligaments,which prevent lateral or medial rotation
D)the oblique popliteal crossing the knee anteriorly
A)the patellar ligament extending from femur to patella
B)cruciate ligaments,which help secure the articulating bones together
C)fibular and tibial collateral ligaments,which prevent lateral or medial rotation
D)the oblique popliteal crossing the knee anteriorly
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54
Which of the following is a true statement?
A)The annular ligament surrounds the head of the radius.
B)The rotator cuff is responsible for the flexible extensions at the elbow joint.
C)The head of the humerus articulates with the acromion process.
D)The greater tubercle of the humerus articulates at the coracoid process of the scapula.
A)The annular ligament surrounds the head of the radius.
B)The rotator cuff is responsible for the flexible extensions at the elbow joint.
C)The head of the humerus articulates with the acromion process.
D)The greater tubercle of the humerus articulates at the coracoid process of the scapula.
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55
Pointing the toes is an example of ________.
A)pronation
B)circumduction
C)protraction
D)plantar flexion
A)pronation
B)circumduction
C)protraction
D)plantar flexion
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56
Which ligament of the knee initiates the knee-jerk reflex when tapped?
A)the medial patellar retinacula
B)the patellar ligament
C)the lateral patellar retinacula
D)the extracapsular ligament
A)the medial patellar retinacula
B)the patellar ligament
C)the lateral patellar retinacula
D)the extracapsular ligament
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57
Presence of a synovial cavity,articular cartilage,synovial membrane,and ligaments are characteristics of what type of joint?
A)hinge joint
B)symphysis
C)suture
D)synchondrosis
A)hinge joint
B)symphysis
C)suture
D)synchondrosis
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58
Antibiotic treatment would be recommended for ________.
A)osteoarthritis
B)Lyme disease
C)rheumatoid arthritis
D)gout
A)osteoarthritis
B)Lyme disease
C)rheumatoid arthritis
D)gout
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59
Performing "jumping jacks" requires ________.
A)pronation and supination
B)flexion and extention
C)abduction and adduction
D)inversion and eversion
A)pronation and supination
B)flexion and extention
C)abduction and adduction
D)inversion and eversion
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60
Baseball pitchers often require "Tommy John" surgery to repair damage to their elbow.Which ligament would this surgery target?
A)lateral ligament
B)acetabular labrum
C)anular ligament
D)ulnar collateral ligament
A)lateral ligament
B)acetabular labrum
C)anular ligament
D)ulnar collateral ligament
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61
After reading a medical report,you learn that a 45-year-old female has the following symptoms: inflammation of synovial membranes,accumulation of synovial fluid,pain and tenderness about the joints,pannus formation,and some immobility at certain joints.On the basis of these symptoms,what would the patient probably have?
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62
Lifting up a glass to take a drink involves the elbow joint.Which of the following correctly characterizes that joint?
A)cartilaginous
B)pivot
C)diarthrotic
D)biaxial
A)cartilaginous
B)pivot
C)diarthrotic
D)biaxial
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63
The type of joint between the carpal (trapezium)and the first metacarpal is a ________ joint.
A)saddle
B)hinge
C)condylar
D)plane
A)saddle
B)hinge
C)condylar
D)plane
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64
Which joints are correctly matched?
A)interphalangeal; plane
B)ankle; hinge
C)elbow; pivot
D)wrist; saddle
A)interphalangeal; plane
B)ankle; hinge
C)elbow; pivot
D)wrist; saddle
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65
Why is muscle tone the most important stabilizing factor for most joints?
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66
After months of very little exercise,you decide to go for a long run.After a mile,you start to feel pain in your kneecap area.What could explain this?
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67
A friend finally completes a basement floor tiling project that required extensive time on his knees.Afterwards,knee pain took him to a doctor who diagnosed bursitis.Help explain to your friend what bursitis is and what can be done to relieve it.
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68
Although uric acid is a normal waste product of nucleic acid metabolism,excessive levels lead to gouty arthritis.How does this waste product build up and cause so much pain when things go wrong and why is it more common in men?
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69
Farhad begins typing his term paper on his new computer early one morning.After 8 hours of typing,he notices that his wrists are stiff and very sore.The next morning,Farhad begins to finish his paper,but soon finds his wrists hurt worse than last night.What is wrong?
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70
Greg is somewhat of a "weekend athlete" who has overextended himself by pitching multiple baseball games for a local team during the week and by playing golf on the weekends for several hours.He presented himself to the emergency room last week with severe shoulder pain (at the glenohumeral joint).The physician told him that the X-ray was not conclusive,but he may have damage to his rotator cuff.What is the rotator cuff,and how might he have caused this damage? What remedies will the physician recommend?
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71
Steven,a football player,complained of severe pain and the inability to use his right arm and shoulder after having been tackled during a game.What would you guess might be his problem?
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72
An individual with a "double-jointed" thumb can pull it back towards the wrist much farther than normal.What does it mean to be "double-jointed?"
A)the additional joint present doubles the range of motion
B)articular cartilage at bone ends is replaced with hyaline cartilage
C)greater than normal production of serous fluid lubricates the joint and extends it
D)the joint capsules and ligaments are more stretchy and loose than normal
A)the additional joint present doubles the range of motion
B)articular cartilage at bone ends is replaced with hyaline cartilage
C)greater than normal production of serous fluid lubricates the joint and extends it
D)the joint capsules and ligaments are more stretchy and loose than normal
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73
Mary has been suffering from a "bad knee" for several months.She is a tennis player who often slides in to attack a ball; she is an aerobic devotee and a jogger.She visited an orthopedic surgeon last week who told her that he would "like to have a look at her knee joint." He also told her that her symptoms indicated damage to the meniscus,and it might have to be removed.What will the doctor do to see the joint,and if the meniscus is removed will Mary be able to play tennis again?
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74
Briefly describe the structure of a typical synovial joint.
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75
How can osteoarthritis be treated?
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76
Synovial joints have six distinguishing features.What are they?
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77
Why are epiphyseal plates considered temporary joints?
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78
Which joint does NOT belong with the others?
A)elbow
B)ankle
C)wrist
D)interphalangeal (toes)
A)elbow
B)ankle
C)wrist
D)interphalangeal (toes)
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79
For each of the following movements,indicate the specific kind of joint involved (e.g.,hinge,etc.)and the movement performed (e.g.,extension,etc.).
a.Bending the elbow: ________,________.
b.Turning head side to side: ________,________.
c.Lowering your arm to your side in the frontal plane: ________,________.
d.Turning the sole of foot medially: ________,________.
a.Bending the elbow: ________,________.
b.Turning head side to side: ________,________.
c.Lowering your arm to your side in the frontal plane: ________,________.
d.Turning the sole of foot medially: ________,________.
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80
Probenecid inhibits the active resorption of uric acid in the kidney,which leads to increased urinary excretion of uric acid.Explain why this drug would be useful in treating gout.
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