A 38 year old man develops sudden onset severe pain, redness and swelling of his right first metatarsophalangeal joint. He is pyrexial but otherwise w...

Question

A 38 year old man develops sudden onset severe pain, redness and swelling of his right first metatarsophalangeal joint. He is pyrexial but otherwise well. Serum urate is raised. What is the most appropriate first line pharmacological treatment for this acute attack?

Accepted Answer

A non steroidal anti inflammatory drug such as Naproxen

Answer

Start Allopurinol immediately at a high dose

Answer

Low dose aspirin

Answer

Long term colchicine prophylaxis only

Answer

Oral paracetamol alone

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

A 38 year old man develops sudden onset severe pain, redness and swelling of his right first metatarsophalangeal joint. He is pyrexial but otherwise well. Serum urate is raised. What is the most appropriate first line pharmacological treatment for this acute attack?