A 48-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He drinks 30 units of alcohol p...

Question

A 48-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He drinks 30 units of alcohol per week. Serum urate is elevated. What is the most appropriate acute treatment?

Accepted Answer

Oral NSAID such as Naproxen with gastroprotection

Answer

Start Allopurinol immediately during the acute attack

Answer

Colchicine is avoided in acute gout

Answer

Long-term low-dose Prednisolone as monotherapy

Answer

Advise lifestyle changes only without pharmacological treatment

uk-plab-1 MCQ (SBA): Acute gout

A 48-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He drinks 30 units of alcohol per week. Serum urate is elevated. What is the most appropriate acute treatment?