A 57-year-old man returns 6 weeks after his third gout flare in 1 year. Serum urate is 9.4 mg/dL, creatinine is normal, and he has no tophi. He is

Question

A 57-year-old man returns 6 weeks after his third gout flare in 1 year. Serum urate is 9.4 mg/dL, creatinine is normal, and he has no tophi. He is not currently in pain and asks how to prevent further attacks. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start allopurinol with flare prophylaxis

Answer

Avoid urate testing in follow-up

Answer

Use intermittent opioids for future attacks

Answer

Schedule prophylactic joint aspiration monthly

Answer

Begin chronic prednisone monotherapy

Recurrent gout prevention — USMLE Step 3 MCQ

A 57-year-old man returns 6 weeks after his third gout flare in 1 year. Serum urate is 9.4 mg/dL, creatinine is normal, and he has no tophi. He is not currently in pain and asks how to prevent further attacks. Which of the following would you recommend at the follow-up visit?