A patient with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe. The patient is not currently taking any medications. The primary care NP should prescribe:
a. naproxen.
b. colchicine.
c. probenecid.
d. allopurinol.
A
Naproxen is the first medication given for an attack of acute gouty arthritis to stop the inflammatory response. Pharmacologic treatment for hyperuricemia must be started after the acute attack has subsided.
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