Question

A 47-year-old with gout and CKD stage 3 presents with acute monoarthritis <24 h. Which acute regimen is guideline-concordant?

Accepted Answer

Low-dose colchicine (1.2 mg then 0.6 mg in 1 h, adjust for CKD)

Answer

High-dose colchicine 1.2 mg q2h until diarrhea

Answer

Start allopurinol now to abort the flare

Answer

Long-term prednisone taper now

Answer

Aspirin 325 mg q6h

Practice question

A 47-year-old with gout and CKD stage 3 presents with acute monoarthritis <24 h. Which acute regimen is guideline-concordant?