skip to main content

Acute gout — RACP Written MCQ

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

ModerateRheumatologyAcute goutRACP Written

A 58-year-old man has acute painful swelling of the first metatarsophalangeal joint. Synovial fluid shows needle-shaped negatively birefringent crystals and culture is negative. He has chronic kidney disease stage 3. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: E — Treat acute gout flare with renal-adjusted anti-inflammatory strategy

Acute gout is treated with appropriate anti-inflammatory therapy tailored to renal function. Urate-lowering therapy is planned after flare control and risk assessment.

Reference: Therapeutic Guidelines: Rheumatology; Australian rheumatology practice principles