Gout Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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An 84-year-old woman presents to the primary care clinic with sudden-onset severe pain, swelling, and redness of the right wrist that started 12 hours ago. She has not had fevers, chills, rashes, or tick bites. She has no significant past medical history and takes no medications. She denies recent trauma to the wrist. Temperature is 37.3°C (99.1°F), blood pressure is 133/84 mmHg, pulse is 92/min, respiratory rate is 20/min, and oxygen saturation is 98% on room air. Physical examination is significant for tenderness, swelling, and erythema of the right wrist with limited passive and active range of motion. There are firm, non-tender nodular lesions present over the elbows bilaterally. Laboratory results are shown below. Diagnostic arthrocentesis is performed. Which of the following is most likely to be seen in synovial fluid analysis?

Laboratory values
Results
Hemoglobin
15.4 g/dL  
Hematocrit
40%  
Leukocyte count  
11,500 /mm3   
Platelet count  
390,000/mm3   
CRP
35 mg/L  
Uric acid  
7.0 mg/dL  

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