This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pharmacology
Prolonged allopurinol therapy in a patient with gout is not indicated for - 
Select and explain. 
A. Acute gouty ahritis, B. Tophi, C. Urate nephropathy, D. Evidence of bone/joint damage
A: Acute gouty ahritis
Answer: A: Acute gouty ahritis 
Explanation: Ans. is 'a' i.e., Acute gouty ahritis o "Allopurinol as well as uricosuries should not be staed during acute attack of gout". - o Tophi, urate nephropathy and bone & joint damage are seen in chronic gout. o Allopurinol is the drug of choice for chronic gout.