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Acute gout flare — GPhC CRA MCQ

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EasyMusculoskeletal TherapeuticsAcute gout flareGPhC CRA

A patient with a known history of gout presents with a swollen painful first metatarsophalangeal joint for 24 hours. They take ramipril and have eGFR 78 mL/min/1.73 m². What is the most appropriate alternative?

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Correct answer: E — Consider suitable acute gout treatment such as an NSAID or colchicine after assessment

Acute gout is treated with an NSAID, colchicine or corticosteroid depending on comorbidities and contraindications. Allopurinol lowers urate long term but is not used as sole immediate analgesia for a flare. Aspirin can worsen urate handling and is not first-line flare therapy. The patient should also receive advice on review and prevention.

Reference: NICE CKS; BNF