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Acute gout NSAID unsuitable — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsAcute gout NSAID unsuitableGPhC CRA

A patient with acute gout has chronic kidney disease and a history of peptic ulcer bleeding. What is the most appropriate alternative?

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

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Correct answer: D — Oral corticosteroid if clinically appropriate

When NSAIDs and colchicine are unsuitable, a corticosteroid may be considered for acute gout. In this vignette, "Oral corticosteroid if clinically appropriate" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS