Question

A 59-year-old man presents with acute onset severe pain and swelling in his first metatarsophalangeal joint. He has a history of hyperuricaemia. The joint is red, hot and exquisitely tender. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Colchicine or NSAID for acute attack

Answer

Allopurinol

Answer

Probenecid

Answer

Long-term corticosteroids

Answer

Antibiotics

Practice question

A 59-year-old man presents with acute onset severe pain and swelling in his first metatarsophalangeal joint. He has a history of hyperuricaemia. The joint is red, hot and exquisitely tender. What is the most appropriate initial pharmacological treatment?