A 66-year-old with stage 3 CKD and acute gout flare (12 hours) is on apixaban; NSAIDs are avoided. Which regimen is preferred?...

Question

A 66-year-old with stage 3 CKD and acute gout flare (12 hours) is on apixaban; NSAIDs are avoided. Which regimen is preferred?

Accepted Answer

Low-dose colchicine (1.2 mg then 0.6 mg after 1 hour)

Answer

High-dose aspirin

Answer

Prednisone 60 mg/day for 10-14 days as first-line in all

Answer

Allopurinol initiation during the acute flare

Answer

Intra-articular hyaluronate

us-abfm MCQ (SBA): Gout Flare