skip to main content

Gout — RCPSC IM MCQ

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

ModerateRheumatologyGoutRCPSC IM

A 64-year-old man with CKD stage 3 and recurrent podagra has six flares in the past year. Serum urate is 610 umol/L. He is asymptomatic today and takes hydrochlorothiazide and low-dose acetylsalicylic acid after a prior myocardial infarction. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Start low-dose allopurinol with flare prophylaxis and titrate to serum urate target

Frequent gout flares warrant urate-lowering therapy. Allopurinol can be used in CKD with low starting dose, prophylaxis against flares and treat-to-target titration.

Reference: Canadian Rheumatology Association resources; ACR gout guideline