Question

A 50-year-old woman presents with acute onset of a swollen, red, very painful first metatarsophalangeal joint. She has a history of hypertension managed with a thiazide diuretic. Serum urate is elevated. What is the most appropriate initial pharmacological treatment for this attack?

Accepted Answer

Colchicine or a non-steroidal anti-inflammatory drug

Answer

Allopurinol

Answer

Long-term prednisone

Answer

Probenecid

Answer

Rasburicase

Practice question

A 50-year-old woman presents with acute onset of a swollen, red, very painful first metatarsophalangeal joint. She has a history of hypertension managed with a thiazide diuretic. Serum urate is elevated. What is the most appropriate initial pharmacological treatment for this attack?