100. A Patient presents with pain in Meta-Tarso-Phalangeal joints and is a known case of chronic renal failure. This is due to accumulation of:
Rh factor
Uric acid
Serum urea
HLA B27 typing
Ans. b. Uric acid The underlying basis of gouty ahritis is increased serum uric acid level. Most common joint involved in gout: Meta-Tarso-Phalangeal jointsQ Precipitation of monosodium urate crystalsdeg into the joints is the underlying basis for these urate crystals is increased total body urate levels