Question

A 54-year-old with recurrent gout flares, tophus, and serum urate 9.0 mg/dL (eGFR 70). Preferred long-term strategy?

Accepted Answer

Allopurinol titrated to serum urate <6 mg/dL

Answer

PRN NSAIDs only

Answer

Probenecid as first-line in all

Answer

Allopurinol fixed dose 100 mg daily without titration

Answer

Colchicine indefinitely without ULT

Practice question

A 54-year-old with recurrent gout flares, tophus, and serum urate 9.0 mg/dL (eGFR 70). Preferred long-term strategy?