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NBME Step 2 CK Form 7 Answers
Indomethacin is typically the first choice NSAID for acute gout flares. Then glucocorticoids. Lastly Colchicine
I also choose steroids since they were on a NSAID. fml
Naw dawg. Celecoxib has anti-inflammatory efficacy hence the categorization as a NSAID. In fact, gout patients treated with Celecoxib have the same treatment response as Indomethacin. Celecoxib is actually listed as an alternative to nonselective NSAIDs for acute gouty flares. This was just a bumbass question.
I also chose Dexamethasone, but uptodate says the glucocorticoid choice is prednisone not dexamethasone. Indomethacin is typically the DOC, better than celecoxib. Not a good question, but a good review of details in the medication!
ikr.... this was a stupid question
submitted by ∗yotsubato(1208)
This one made no sense. Celecoxib is already the strongest NSAID. I would rather give Dexamethasone. Which works along a seperate mechanism of action.