A 58-year-old man presents with acute onset severe pain, redness, and swelling of the first metatarsophalangeal joint. He has a history of hypertensio...

Question

A 58-year-old man presents with acute onset severe pain, redness, and swelling of the first metatarsophalangeal joint. He has a history of hypertension. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Non-steroidal anti-inflammatory drug such as naproxen

Answer

Colchicine only if symptoms persist for >1 week

Answer

Allopurinol started immediately to lower urate

Answer

Oral prednisolone is contraindicated

Answer

Antibiotics for presumed septic arthritis

uk-plab-1 MCQ (SBA): Acute gout

A 58-year-old man presents with acute onset severe pain, redness, and swelling of the first metatarsophalangeal joint. He has a history of hypertension. What is the most appropriate initial pharmacological treatment?