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MRCEM Intermediate SBA Practice Questions - MRCEM Intermediate SBA Exam

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A 65-year-old man presents with a swollen, hot, tender left first metatarsophalangeal joint. Joint aspiration shows negatively birefringent needle-shaped crystals under polarised light microscopy. Which is the most appropriate first-line treatment if he has stable chronic kidney disease (eGFR 35)?
Correct Answer:
Oral colchicine

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