MCQ IN MEDICINE

MEDICINE MCQ

RHEUMATOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Tophaceous gout can mimic Rheumatoid nodules. What are true? (multiple answer)
A
Rheumatoid nodule firm and non tender
B
Rheumatoid nodule usually located at the extensor surface
C
Tophi usually firm and gritty like surface, usually located at the bursa
D
Tophi can also be at tendon, synovial, ligament and cartilage
Explanation: 

Detailed explanation-1: -Tophaceous gout occurs when uric acid crystals form masses of white growths that develop around the joints and tissues that gout has affected. These masses, called tophi, are often visible under the skin and tend to look like swollen nodules. The material may be in a liquid, pasty, or chalky state.

Detailed explanation-2: -Tophi (plural of tophus, Latin for ‘stone’) are stone-like deposits of monosodium urate in the soft tissues, synovial tissues, or in bones near the joints.

Detailed explanation-3: -Intense joint pain. Gout usually affects the big toe, but it can occur in any joint. Lingering discomfort. After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks. Inflammation and redness. Limited range of motion. 16-Nov-2022

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