Question

A 56-year-old man presents with acute monoarthritis of the first MTP joint: red, swollen, very painful. Joint aspiration shows needle-shaped, negatively birefringent crystals. According to NICE, which medication is first-line for an acute gout attack?

Accepted Answer

NSAIDs (e.g. naproxen)

Answer

Colchicine

Answer

Allopurinol

Answer

Febuxostat

Answer

Intra-articular corticosteroid injection

Practice question

A 56-year-old man presents with acute monoarthritis of the first MTP joint: red, swollen, very painful. Joint aspiration shows needle-shaped, negatively birefringent crystals. According to NICE, which medication is first-line for an acute gout attack?