A 58-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He has a history of hypertensio...

Question

A 58-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He has a history of hypertension treated with a thiazide diuretic. Which is the most appropriate first-line treatment for this acute attack?

Accepted Answer

Colchicine or NSAID for acute pain

Answer

Long-term Allopurinol starting immediately

Answer

Oral Prednisolone only

Answer

Prophylactic Colchicine lifelong

Answer

No treatment is required

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

A 58-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He has a history of hypertension treated with a thiazide diuretic. Which is the most appropriate first-line treatment for this acute attack?