A 46-year-old with gout flare (within 24 hours of onset), normal renal function. Best initial pharmacologic plan?...

Question

A 46-year-old with gout flare (within 24 hours of onset), normal renal function. Best initial pharmacologic plan?

Accepted Answer

Colchicine 1.2 mg then 0.6 mg 1 hour later

Answer

Allopurinol start now plus NSAID

Answer

Prednisone 60 mg daily for 10 days in all cases

Answer

Probenecid start now

Answer

No anti-inflammatory therapy; hydration only

us-abim MCQ (SBA): Acute Gout