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Status epilepticus — RCPSC IM MCQ

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HardNeurologyStatus epilepticusRCPSC IM

A 71-year-old with CKD stage 4 has aspirate-confirmed gout, previous peptic-ulcer bleeding and apixaban use. He now has severe monoarthritis without sepsis. Which acute anti-inflammatory approach is safest?

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

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Correct answer: C — Use glucocorticoid therapy after excluding septic arthritis

Glucocorticoid treatment is a reasonable acute option when CKD, anticoagulation and ulcer bleeding make NSAIDs and high-dose colchicine hazardous. Urate lowering does not give rapid anti-inflammatory relief, and stopping anticoagulation for ketorolac creates additional harm.

Reference: Canadian Rheumatology Association, Clinical Guidelines and Position Statements: https://rheum.ca/resources/publications/