A 56-year-old man has abrupt severe pain, swelling, and erythema of the first metatarsophalangeal joint. He has had one similar episode. Temperature

Question

A 56-year-old man has abrupt severe pain, swelling, and erythema of the first metatarsophalangeal joint. He has had one similar episode. Temperature is 98.8°F, creatinine is normal, and he has no ulcer disease. Which of the following is the most appropriate next step in management?

Accepted Answer

Treat with an NSAID

Answer

Perform immediate joint replacement

Answer

Start long-term pegloticase

Answer

Begin antibiotics for osteomyelitis

Answer

Start high-dose aspirin

Acute gout — USMLE Step 3 MCQ

A 56-year-old man has abrupt severe pain, swelling, and erythema of the first metatarsophalangeal joint. He has had one similar episode. Temperature is 98.8°F, creatinine is normal, and he has no ulcer disease. Which of the following is the most appropriate next step in management?