Question

A 40-year-old man presents with acute onset severe pain, redness and swelling of the first metatarsophalangeal joint. Serum urate is elevated. What is the most appropriate initial treatment?

Accepted Answer

Colchicine or NSAID for acute attack

Answer

Allopurinol immediately

Answer

Long-term corticosteroids

Answer

Probenecid alone

Answer

Restrict fluids severely

Practice question

A 40-year-old man presents with acute onset severe pain, redness and swelling of the first metatarsophalangeal joint. Serum urate is elevated. What is the most appropriate initial treatment?