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Orthopaedics · Foot disorders
Sample itemWhat joint is commonly affected in an acute gout attack?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. First metatarsophalangeal joint
Acute gout commonly affects the first metatarsophalangeal joint, causing severe sudden pain, swelling, erythema, and tenderness from urate crystal inflammation.
Option by option
A. Temporomandibular joint
Temporomandibular involvement is not the classic first presentation.
B. Cervical spine only
Cervical-only disease is not the common acute site.
C. First metatarsophalangeal joint (correct)
Correct: first MTP joint is a classic gout location.
D. Shoulder only
Shoulder-only disease is not typical.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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