Question

A 24-year-old man with acute monoarthritis of the first MTP joint, severe pain and swelling, no sepsis features. What is the most appropriate initial treatment?

Accepted Answer

Colchicine 500 micrograms two to three times daily

Answer

Allopurinol immediately

Answer

Oral prednisolone 40 mg for 5 days (first-line)

Answer

Indomethacin without gastroprotection

Answer

Probenecid

Practice question

A 24-year-old man with acute monoarthritis of the first MTP joint, severe pain and swelling, no sepsis features. What is the most appropriate initial treatment?