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USMLE · Question #447

A 44-year-old businessman presents to a physician because of a markedly inflamed and painful right great toe. He states that he just returned from a convention, and noticed increasing pain in his…

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Principles of Therapeutics

Question

A 44-year-old businessman presents to a physician because of a markedly inflamed and painful right great toe. He states that he just returned from a convention, and noticed increasing pain in his right foot during his plane trip home. Physical examination is remarkable for swelling and erythema of the right great toe as well as small nodules on the patient's external ear. Aspiration of the metatarsal-phalangeal joint of the affected toe demonstrates needle-shaped negatively birefringent crystals. Which of the following agents would provide the most immediate relief for this patient?

Options

  • AAllopurinol
  • BAspirin
  • CColchicine
  • DProbenecid
  • ESulfinpyrazone

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Topics

#acute gout#colchicine#negatively birefringent crystals#anti-inflammatory treatment
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