Question

A 45-year-old man presents with acute onset of a painful, swollen first metatarsophalangeal joint. Arthrocentesis shows needle-shaped, negatively birefringent crystals. According to NICE, what is the recommended first-line treatment for an acute gout attack?

Accepted Answer

Colchicine or NSAIDs (e.g. naproxen)

Answer

High-dose aspirin

Answer

High-dose allopurinol

Answer

Long-term corticosteroid therapy

Answer

Probenecid

Practice question

A 45-year-old man presents with acute onset of a painful, swollen first metatarsophalangeal joint. Arthrocentesis shows needle-shaped, negatively birefringent crystals. According to NICE, what is the recommended first-line treatment for an acute gout attack?