Question

A 60-year-old man presents with an acutely painful, swollen first metatarsophalangeal joint. He drinks alcohol regularly and is afebrile. What is the most appropriate initial pharmacological treatment?

Accepted Answer

High-dose NSAID such as Naproxen (if no contraindications)

Answer

Allopurinol immediately

Answer

Long-term Colchicine prophylaxis only

Answer

Oral antibiotics

Answer

Oral steroids in all cases first-line

Practice question

A 60-year-old man presents with an acutely painful, swollen first metatarsophalangeal joint. He drinks alcohol regularly and is afebrile. What is the most appropriate initial pharmacological treatment?