BOF: 25
A sixty five year old male who is on treatment for
chronic heart failure with diuretics, angiotensin converting enzyme inhibitors,
beta-blockers and spironolactone presents with sudden onset of pain and swelling
of the metatarso-phalangeal joint of his right big toe. Aspiration of the joint
demonstrates crystals of monosodium urate.
In this patient:
a)
Moderate doses of aspirin would be beneficial
b)
Non-steroidal anti-inflammatory digs would be the drugs of first choice
c)
Highly selective cyclooxygenase 2 inhibitor should be used
d)
Colchicine would be the best choice
e)
Parenteral colchicine may be safely used to counter nausea and diarrhoea
