A 58 year old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He drinks 4 to 5 beers nightly....

Question

A 58 year old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He drinks 4 to 5 beers nightly. There is no history of trauma. Which of the following is the most appropriate first line pharmacological treatment for this acute attack?

Accepted Answer

Indomethacin or another NSAID

Answer

Allopurinol

Answer

Colchicine loading and high dose over several days

Answer

Intra articular corticosteroid injection only

Answer

Long term prednisolone 5 mg daily

au-racgp MCQ (SBA): Acute gout first-line

A 58 year old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He drinks 4 to 5 beers nightly. There is no history of trauma. Which of the following is the most appropriate first line pharmacological treatment for this acute attack?