Question

A 61-year-old man with an acutely painful, swollen first MTP joint and known gout asks about treatment. He has CKD stage 3a. Which acute treatment is most appropriate?

Accepted Answer

Colchicine dose adjusted for renal function

Answer

High-dose ibuprofen

Answer

Start allopurinol now and no anti-inflammatory

Answer

Intra-articular steroid is contraindicated

Answer

Aspirin 75 mg daily

Practice question

A 61-year-old man with an acutely painful, swollen first MTP joint and known gout asks about treatment. He has CKD stage 3a. Which acute treatment is most appropriate?