Question

A 58-year-old man presents with acute onset of a red, swollen, very tender first metatarsophalangeal joint. He is febrile but otherwise well. What is the most appropriate initial treatment?

Accepted Answer

Start NSAIDs or Colchicine for acute gout

Answer

Start Allopurinol immediately during the acute attack

Answer

Start long-term low-dose Aspirin

Answer

No treatment is required as it will settle spontaneously

Answer

Start high-dose oral steroids for several months

Practice question

A 58-year-old man presents with acute onset of a red, swollen, very tender first metatarsophalangeal joint. He is febrile but otherwise well. What is the most appropriate initial treatment?