A 62-year-old man with gout presents with a hot, swollen first metatarsophalangeal joint. He has had similar attacks before, but no tophi or CKD. What...

Question

A 62-year-old man with gout presents with a hot, swollen first metatarsophalangeal joint. He has had similar attacks before, but no tophi or CKD. What is the most appropriate acute management?

Accepted Answer

Start colchicine or NSAIDs for acute pain and inflammation

Answer

Start allopurinol immediately at high dose

Answer

Begin long-term low-dose prednisone

Answer

Perform joint replacement surgery

Answer

Advise dietary measures only

ca-mccqe1 MCQ (SBA): Gout

A 62-year-old man with gout presents with a hot, swollen first metatarsophalangeal joint. He has had similar attacks before, but no tophi or CKD. What is the most appropriate acute management?