solved

A 57-year old patient presents for an annual physical exam. He reports having three attacks of gout during the past year. He does not take any medication except NSAIDs during the attacks and reports that they help “a little bit.” The nurse practitioner would appropriately recommend:
(a) continuous low-dose Indomethacin
(2) allopurinol (Zyloprim, Aloprim) PRN for acute attacks
(3) avoidance of foods high in purines
(4) corticosteroids rather than NSAIDs for acute attacks

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