A 58-year-old with painful swollen big toe joint; serum urate 0.52 mmol/L. After acute attack resolves, best long-term urate-lowering initiation?...

Question

A 58-year-old with painful swollen big toe joint; serum urate 0.52 mmol/L. After acute attack resolves, best long-term urate-lowering initiation?

Accepted Answer

Start allopurinol 2 weeks after resolution with prophylaxis

Answer

Start allopurinol during the acute attack

Answer

No urate-lowering ever

Answer

Use febuxostat first-line in all

Answer

Diet alone is sufficient

ukmla MCQ (SBA): Chronic gout prevention