ssociation" implies associates. It implies the entering into a joint enterprise, and, as the applicable regulation imports, an enterprise for the transaction of business. This is not the characteristic of an ordinary trust whether created by will, deed, or declaration by which particular property is conveyed to a trustee or is to be held by the settlor, on specified trusts, for the benefit of

357

*357named or described persons. Such beneficiaries do not ordinarily, and as merecestuis que trustent,plan a common effort or enter into a combination for the conduct of a business enterprise. Undoubtedly the terms of an association may make the taking or acquiring of shares or interests sufficient to constitute participation, and may leave the management, or even control of the enterprise, to designated persons. But the nature and purpose of the cooperative undertaking will differentiate it from an ordinary trust. In what are called "business trusts" the object is not to hold and conserve particular property, with incidental powers, a

Question 1

1. Is reactive arthritis a synonym for Reiter's syndrome?

2. It is said that Reiter's disease has been related to Chlamydia trachomatis

infection. Is this correct?

Question 2

1. Is the response of an acutely inflamed joint to colchicine

pathognomonic of gouty arthritis?1025

2. We are told that, other than clinical tests, joint fluid microscopy is

the specific diagnostic test for gout. What does joint fluid microscopy

reveal? Is it the same as a polarized light study revealing needleshaped urate deposits?

Question 3

In the prevention of gout, should allopurinol be used for life in a patient

who is hypertensive, alcoholic and overweight?

Question 4

Does a serum uric acid level of 5.7 mmol/L need treatment? Can it be

significant with cholesterol levels of 213 mg/dL (5.5 mmol/L)? What is

the treatment?

Question5

In the diet of patients suffering from gout, should tea, coffee or other

compounds containing methylxanthine products be restricted?

Question6

1. When do joints that appear slightly swollen, but not warm, need to be

tapped?

2. In what circumstances might an immunologically suppressed patient

not mount a fever or not have heat around a septic joint?

Question 7

Does hydrochlorothiazide have a prophylactic effect against

osteoporosis?c1050

Question 8

How effective is parathyroid hormone in the management of

osteoporosis? Please explain the mechanism.

Question 9

1. What is the recommended treatment for severe osteogenesis

imperfecta?

2. Where two siblings have already been born with severe osteogenesis

imperfecta, what is the risk of subsequent children of the same parents

being born with this condition?

Question 10

Why does achondroplasia not affect the mandible (when all other bones

are affected)?