Question

A 63-year-old man presents with a hot, swollen first metatarsophalangeal joint. He has known gout and similar previous attacks. What is the most appropriate acute treatment?

Accepted Answer

Colchicine or NSAID, provided no contraindications

Answer

Allopurinol dose escalation

Answer

Long-term low-dose prednisolone

Answer

Prophylactic antibiotic therapy

Answer

Joint immobilisation only

Practice question

A 63-year-old man presents with a hot, swollen first metatarsophalangeal joint. He has known gout and similar previous attacks. What is the most appropriate acute treatment?