Gout and pseudogout 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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A 53-year-old man comes to the physician complaining of a painless nodule on the back of the left heel. He has had several episodes of joint pain in the last 2 years, involving the toes and knees, that would often resolve after taking ibuprofen. He has not had any fevers, recent joint trauma, or weight loss. Past medical history is significant for hypertension and hyperlipidemia. He is currently on hydrochlorothiazide and pravastatin. He has been drinking 5-6 beers daily for the last 13 years. He denies tobacco or illicit substance use. Temperature is 37.0°C (98.6°F), pulse is 88/min, respirations are 12/min, and blood pressure is 138/95 mmHg. Physical examination reveals a nontender, hard, chalky nodule on the left Achilles tendon, as seen in the image below:

Image reproduced from Wikimedia Commons
Similar nodules are present on the left elbow and right external pinna of the ear. Further evaluation of this patient will most likely reveal which of the following?

Image reproduced from Wikimedia Commons
Similar nodules are present on the left elbow and right external pinna of the ear. Further evaluation of this patient will most likely reveal which of the following?
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