Free Board Review Questions of the Week – Gout

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Free board review question of the week on gout

This week’s free board review question…


A 59-year-old man who is being treated for hypertension, hyperlipidemia, and obesity has experienced 3 gout attacks in the past year. His uric acid level is 9.2 mg/dL (normal range, 3.0-6.5 mg/dL). He recently completed nonsteroidal anti-inflammatory drug (NSAID) therapy for an acute attack and has been asymptomatic for 3 weeks. You decide to start him on uric acid-lowering therapy with allopurinol.

What medication should be started along with allopurinol?

Answer Options

oral prednisone 5 mg daily
oral colchicine 0.6 mg once or twice daily
oral furosemide 10 mg daily
oral indomethacin 100 mg daily

And the answer is …


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