Question

A 68-year-old man with CKD stage 4 (eGFR 25 mL/min/1.73m²) presents with acute gout affecting his right knee. He takes Ramipril, Atorvastatin, and Furosemide. What is the most appropriate first-line treatment for the acute flare?

Accepted Answer

Oral Prednisolone 30mg OD

Answer

High-dose Naproxen

Answer

Colchicine 500mcg QDS

Answer

Intra-articular steroid injection

Answer

Allopurinol 100mg OD

Practice question

A 68-year-old man with CKD stage 4 (eGFR 25 mL/min/1.73m²) presents with acute gout affecting his right knee. He takes Ramipril, Atorvastatin, and Furosemide. What is the most appropriate first-line treatment for the acute flare?