[Verified Answer]: A 52-year-old man presents to urgent care…

A 52-year-old man presents to urgent care at 2 AM with sudden onset of severe left great toe pain that started 8 hours ago. He rates pain 10/10 and cannot tolerate even a bedsheet touching his toe. Exam reveals an erythematous, swollen, warm first MTP joint with exquisite tenderness. He has hypertension treated with hydrochlorothiazide and had a similar episode 6 months ago. What is the MOST appropriate immediate treatment? Question 19Select one: a. Indomethacin 50mg TID or colchicine 1.2mg once, then 0.6mg one hour later b. Prednisone 0.5mg/kg daily for 5 days c. Arthrocentesis to confirm diagnosis before starting any treatment d. Allopurinol 300mg daily to prevent future attacks