A 64-year-old woman presents with acute onset hot, swollen and very painful first metatarsophalangeal joint. She has a history of hypertension and is ...

Question

A 64-year-old woman presents with acute onset hot, swollen and very painful first metatarsophalangeal joint. She has a history of hypertension and is on Bendroflumethiazide. Joint aspiration shows needle-shaped negatively birefringent crystals. What is the most appropriate initial treatment?

Accepted Answer

Colchicine

Answer

Allopurinol

Answer

Methotrexate

Answer

Probenecid

Answer

Long-term low-dose Aspirin

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

A 64-year-old woman presents with acute onset hot, swollen and very painful first metatarsophalangeal joint. She has a history of hypertension and is on Bendroflumethiazide. Joint aspiration shows needle-shaped negatively birefringent crystals. What is the most appropriate initial treatment?