The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

197

A 72 years old food critic presents with a painful left big toe. He denied any history of trauma or recent travel. He has a past medical history of hypertension and obesity. He takes bendroflumethiazide and amlodipine. He currently smokes and drinks 3 glasses of red wine per night. On examination, his observations are normal. A swollen, tender and erythematous left big toe is noted. There is no neurovascular deficit in his feet and they appear normal in shape. An X ray of his foot shows soft tissue swelling around his left toe. His uric acid level is raised. Which ONE of the following treatments should be avoided at this stage?

Please select one of the following:

Ibuprofen
Paracetamol
Colchicine
Allopurinol
Prednisolone

Question By Dr Ley Taing Chan MBBS, BA.