Gout: Test your skills with these 5 patients
Author and Disclosure Information [Show]

Edward A. Jackson, MD, FAAFP, is Medical Director of AdventHealth Medical Group Family Medicine at East Orlando, Florida. Dr. Jackson is also Clinical Professor of Family Medicine at Michigan State University College of Human Medicine in East Lansing and at Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine in Fort Lauderdale, Florida. Dr. Jackson is also a faculty member of the National Family Medicine Board Review course.

Daniel Moses, DO, is a second-year resident in AdventHealth Medical Group Family Medicine at East Orlando, Orlando, Florida.

Question 1 of 5

A 63-year-old man with a history of alcoholism presents to the clinic with acute pain in his right great toe. He says that it has been excruciatingly tender to touch for the last 2 days after a weekend of binge drinking. You suspect gout.

Which of the following findings is considered fully diagnostic for gouty arthritis as part of an oligoarticular or monoarticular episode?

Involvement of the first metatarsophalangeal (MTP) joint.

Serum urate ≥10 mg/dL.

Presence of monosodium urate (MSU) crystals in a symptomatic joint or bursa.

Evidence of tophus.

This quiz is not accredited for CME.

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