skip to main content

Asymptomatic hyperuricaemia — SCE Rheumatology MCQ

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

ModerateCrystal arthropathiesAsymptomatic hyperuricaemiaSCE Rheumatology

A 47-year-old man has serum urate 590 µmol/L found during hypertension review. He has no joint attacks, tophi, uric acid stones or chronic kidney disease. Examination of feet and hands is normal. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: B — Lifestyle and cardiovascular risk advice without urate-lowering therapy

Asymptomatic hyperuricaemia without gout, tophi, stones or specific high-risk indications is generally not treated with urate-lowering therapy. Cardiovascular and lifestyle risk factors should be addressed. Treating a number alone exposes the patient to adverse effects without clear clinical benefit.

Reference: NICE NG219