Question

A 62-year-old woman with gout presents with an acute monoarthritis of the first MTP joint. She has CKD stage 3a. Which acute treatment is most appropriate?

Accepted Answer

Oral prednisolone 20 to 30 mg daily for 5 days

Answer

High-dose ibuprofen regularly

Answer

Colchicine 500 micrograms two to four times daily (max 6 mg per course)

Answer

Allopurinol initiation immediately at 300 mg daily

Answer

Intra-articular hyaluronic acid

Practice question

A 62-year-old woman with gout presents with an acute monoarthritis of the first MTP joint. She has CKD stage 3a. Which acute treatment is most appropriate?