HomeKROK Question Archive
Exam questionKROK 1Medicine ยท 2015

A 49-year-old man complains of pain in his metatarsophalangeal joints and joint deformation. In blood hyperuricemy can be observed. X-ray has revealed metatarsophalangeal joint space narrowing, erosion, periarticular calcification of the both joints, osteoporosis. Microscopy has revealed inflammatory granulomatous reaction surrounding necrotizing masses in the area of the first metatarsophalangeal joint. Choose the most likely diagnosis:

Answer options

  1. Gout (podagra)
  2. Urolithiasis
  3. Rheumatoid arthritis
  4. Pyrophosphate arthropathy
  5. Hyperparathyroidism
Correct answer

Gout (podagra)

This educational archive is provided by KROKEXAM and is not an official testing authority publication.