A 60-year-old man presents with a painful, swollen first metatarsophalangeal joint. He is unable to bear weight. Serum urate is raised. What is the mo...

Question

A 60-year-old man presents with a painful, swollen first metatarsophalangeal joint. He is unable to bear weight. Serum urate is raised. What is the most appropriate initial pharmacological treatment of this acute attack?

Accepted Answer

Start oral NSAID such as Naproxen (if no contraindications) or Colchicine

Answer

Start Allopurinol immediately and no analgesia

Answer

Start long-term Febuxostat

Answer

Give intra-articular steroid without ruling out infection

Answer

No pharmacological treatment is required

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

A 60-year-old man presents with a painful, swollen first metatarsophalangeal joint. He is unable to bear weight. Serum urate is raised. What is the most appropriate initial pharmacological treatment of this acute attack?