NBME 23 Colchicine (NBME Answers)

NBME 23 Answers ↦

nbme23/Block 2/Question#49 (32.8 difficulty score)
A 56-year-old man comes to the physician ...
Colchicine🔍
tags:

+6
submitted by sympathetikey(1244),

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yb_26 even if it would be steroid in the list, if NSAIDs are contraindicated => we give Colchicine, and if pt can't tolerate Colchicine as well => then we use steroids +4

usmlecharserssss uptodate - try to avoid steroid therapy in gout , in this case patient has aspirin (NSAID) allergy , so second line is Colchicine , not Allopurinol, which is for chronic management. This case is not RARE and a lot of people sits on Colchicine therapy even if they do not have NSAID problems. Colchicine also First line treatment for Familial Mediterranean Fever, prevent exacerbations. +4

+1
submitted by dr.xx(142),

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nwinkelmann Love the last quote/sentence from the article! So helpful for clinical decision making! +

+1
submitted by yotsubato(961),

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uhhltgAo intnhaoeampec olel(ynT) is ont eecddosrni an N,SIAD it oot amy eopokvr an li-inerapkis tsiieistvyn.

meningitis For that same reason (not an NSAID) it doesn't reduce inflammation so it cant be used for Gout. +5

meningitis And I think Indomethacin is associated with anaphylactic reactions in patients with aspirin-sensitive asthma and aspirin allergies. Can anyone confirm? +

link981 How many other's like me didn't see "allergic to aspirin"? FML +3

hyperfukus OMFG me too i just got so mad and questioned my whole life at least its cuz i can't read not bc i don't understand :((((( +1

+0
submitted by d_holles(170),

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tP hsa AAS ntrclaneeoi mstah,a cwhih smaen IASND si tcnr.acdetodaiin cikP .hoiecicncl

+0
submitted by brise(44),

Why is it that you can use acetaminophen in aspirin induced asthma and not here? I literally chose acetaminophen bc in another nbme it said to use it in aspirin induced asthma

brise Acetaminophen is not an NSAID and therefore it will not treat gout. +1