A 52-year-old man with gout has two flares in the past year and urate nephrolithiasis. His serum uric acid is 520 µmol/L between attacks. According to...

Question

A 52-year-old man with gout has two flares in the past year and urate nephrolithiasis. His serum uric acid is 520 µmol/L between attacks. According to gout guidelines, what is the most appropriate long-term strategy?

Accepted Answer

Start allopurinol and titrate to target serum urate

Answer

Treat flares only with NSAIDs

Answer

Restrict purines only without medication

Answer

Start chronic low-dose prednisone

Answer

Use colchicine only during flares

ca-mccqe1 MCQ (SBA): Gout with indication for urate-lowering therapy

A 52-year-old man with gout has two flares in the past year and urate nephrolithiasis. His serum uric acid is 520 µmol/L between attacks. According to gout guidelines, what is the most appropriate long-term strategy?