A 60-year-old man presents with a painful, swollen right first metatarsophalangeal joint. Serum urate is elevated. He has chronic kidney disease stage...

Question

A 60-year-old man presents with a painful, swollen right first metatarsophalangeal joint. Serum urate is elevated. He has chronic kidney disease stage 3. Which medication is MOST appropriate for acute gout management in this setting?

Accepted Answer

Low-dose colchicine with appropriate dose adjustment

Answer

High-dose ibuprofen alone

Answer

Allopurinol initiation at high dose during the acute attack

Answer

Prednisolone for long-term daily therapy only

Answer

No pharmacological treatment is recommended

au-racgp MCQ (SBA): Acute gout

A 60-year-old man presents with a painful, swollen right first metatarsophalangeal joint. Serum urate is elevated. He has chronic kidney disease stage 3. Which medication is MOST appropriate for acute gout management in this setting?