A 50-year-old outpatient with persistent hyperuricemia and ≥2 gout flares/year asks about long-term management. Which statement reflects current guida...

Question

A 50-year-old outpatient with persistent hyperuricemia and ≥2 gout flares/year asks about long-term management. Which statement reflects current guidance?

Accepted Answer

Start allopurinol and titrate to serum urate

Answer

Use probenecid first-line for all patients

Answer

Avoid urate-lowering therapy after tophus formation

Answer

Start febuxostat only if eGFR >60 mL/min/1.73 m²

Answer

Treat to symptom control; urate level target is unnecessary

us-abim MCQ (SBA): Gout (Chronic Management)

A 50-year-old outpatient with persistent hyperuricemia and ≥2 gout flares/year asks about long-term management. Which statement reflects current guidance?