Question

A 56-year-old man presents with sudden onset of a painful, swollen first metatarsophalangeal joint. Serum urate is elevated. What is the most appropriate treatment of this acute attack?

Accepted Answer

Colchicine or NSAIDs for acute attack and consider urate-lowering later

Answer

Start allopurinol immediately

Answer

Long-term corticosteroids only

Answer

No treatment is required

Answer

Begin probenecid during acute flare

Practice question

A 56-year-old man presents with sudden onset of a painful, swollen first metatarsophalangeal joint. Serum urate is elevated. What is the most appropriate treatment of this acute attack?