A 58-year-old man with recurrent gout has serum urate 520 μmol/L. He recently recovered from an acute flare. Best timing and choice for urate-lowering...

Question

A 58-year-old man with recurrent gout has serum urate 520 μmol/L. He recently recovered from an acute flare. Best timing and choice for urate-lowering therapy (ULT)?

Accepted Answer

Start allopurinol now and use colchicine prophylaxis

Answer

Start allopurinol during the flare

Answer

Delay ULT indefinitely

Answer

Use febuxostat first-line for all

Answer

Probenecid first-line

ukmla MCQ (SBA): Gout—Long-term Management

A 58-year-old man with recurrent gout has serum urate 520 μmol/L. He recently recovered from an acute flare. Best timing and choice for urate-lowering therapy (ULT)?