QuestionSBA
QuestionChoice
This patient is presenting with signs and symptoms characteristic of gout. Whilst both NSAIDs and colchicine may be considered first-line in gout, this patient has a history of peptic ulcer disease which could worsen through NSAID use. Therefore, colchicine should be trialled first.
10002377
a
Colchicine
QuestionChoice
Ibuprofen is an NSAID which could potentially cause/worsen peptic ulcers given the patient's history of peptic ulcer disease.
10002378
b
Ibuprofen
QuestionChoice
Naproxen is an NSAID which could potentially cause/worsen peptic ulcers, given the patient's history of peptic ulcer disease.
10002379
c
Naproxen
QuestionChoice
Although allopurinol is used as a urate-lowering therapy after gout, it should not be started until 2 weeks after an acute attack.
10002380
d
Allopurinol
QuestionChoice
Oral steroids may be considered in patients with gout if NSAIDs and colchicine are both contraindicated. However, in this case, there are no contraindications to colchicine use.
10002381
e
Prednisolone
Concept
Chapter
2693
3768
Gout
Topic
146
Rheumatology
13022
A 65-year-old male presents to General Practice with a painful swelling of the first metatarsophalangeal joint. The patient mentions that this started yesterday and has become very painful, limiting the movement of the joint. He has a past medical history of peptic ulcer disease but does not currently take any medication. He does not have any allergies.

Which of the following medications should be considered first in the acute management of this patient?
a