skip to main content

Acute gout — SCE Rheumatology MCQ

Instant feedback + full explanation. One question, done properly.

HardCrystal arthropathiesAcute goutSCE Rheumatology

A patient with crystal-proven acute gout has stage 4 CKD and a history of peptic-ulcer bleeding. Which treatment is most appropriate after infection has been excluded?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Use short corticosteroid treatment after excluding joint infection

The best answer is “Use short corticosteroid treatment after excluding joint infection”. NSAIDs are high risk with advanced CKD and previous ulcer bleeding, while corticosteroid treatment can be selected after infection is excluded. Urate lowering does not provide immediate analgesia, colchicine requires renal and interaction review, and CKD does not eliminate every treatment option.

Reference: NICE NG219 gout recommendations: https://www.nice.org.uk/guidance/ng219/chapter/Recommendations