Question

A 65-year-old presents with an acute hot, swollen first metatarsophalangeal joint. Aspiration shows needle-shaped crystals with negative birefringence. According to NICE, what is the recommended first-line acute treatment?

Accepted Answer

Colchicine

Answer

Allopurinol

Answer

Probenecid

Answer

Long-term NSAID prophylaxis

Answer

Oral corticosteroids

Practice question

A 65-year-old presents with an acute hot, swollen first metatarsophalangeal joint. Aspiration shows needle-shaped crystals with negative birefringence. According to NICE, what is the recommended first-line acute treatment?