Acute gout — MRCGP AKT MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: D — Continue allopurinol and add suitable anti-inflammatory flare treatment
The best answer is “Continue allopurinol and add suitable anti-inflammatory flare treatment”. Established urate-lowering therapy is continued during a flare because interruption destabilises urate and may provoke further attacks. The flare receives an NSAID, colchicine or corticosteroid according to comorbidity. Allopurinol is not an analgesic and its maintenance dose is not briefly doubled for acute symptom control.
Reference: NICE NG219: Gout — diagnosis and management: https://www.nice.org.uk/guidance/ng219/chapter/Recommendations