Question

A 64-year-old man with known gout presents with an acute monoarthritis of the first MTP joint. He is afebrile. What is the most appropriate first-line treatment for this acute attack (no contraindications)?

Accepted Answer

Colchicine 500 micrograms BD-TDS

Answer

Start allopurinol immediately and NSAID

Answer

Long-term urate-lowering therapy only

Answer

Prednisolone 40 mg daily for 2 weeks routinely

Answer

Antibiotics

Practice question

A 64-year-old man with known gout presents with an acute monoarthritis of the first MTP joint. He is afebrile. What is the most appropriate first-line treatment for this acute attack (no contraindications)?