Question

A 65-year-old woman presents with hot, swollen first MTP. She takes hydrochlorothiazide. Serum urate is 6.8 mg/dL during flare. Best acute management?

Accepted Answer

NSAID, colchicine, or glucocorticoid for flare; defer starting ULT until after flare

Answer

Start allopurinol now to terminate flare

Answer

Probenecid to abort flare

Answer

Aspirin high dose

Answer

Antibiotics

Practice question

A 65-year-old woman presents with hot, swollen first MTP. She takes hydrochlorothiazide. Serum urate is 6.8 mg/dL during flare. Best acute management?