A 24-year-old man presents with acute onset swollen, erythematous and exquisitely tender first metatarsophalangeal joint. Serum urate is elevated. Whi...

Question

A 24-year-old man presents with acute onset swollen, erythematous and exquisitely tender first metatarsophalangeal joint. Serum urate is elevated. Which of the following is the most appropriate initial pharmacological treatment for this acute attack?

Accepted Answer

Colchicine or NSAIDs as acute anti-inflammatory treatment

Answer

Start long-term Allopurinol immediately

Answer

Low-dose Aspirin only

Answer

Oral Prednisolone is contraindicated

Answer

Change diet alone without medications

au-amc MCQ (SBA): Acute gout

A 24-year-old man presents with acute onset swollen, erythematous and exquisitely tender first metatarsophalangeal joint. Serum urate is elevated. Which of the following is the most appropriate initial pharmacological treatment for this acute attack?