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Gout — ABFM Board MCQ

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EasyMusculoskeletal/Sports medicineGoutABFM Board

A 49-year-old man has sudden severe pain, redness, and swelling of the first metatarsophalangeal joint after a weekend of beer and seafood. He has had two similar self-limited episodes. Which of the following is the most likely diagnosis?

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Correct answer: E — Acute gout flare

Recurrent abrupt monoarthritis of the first MTP joint after dietary triggers is classic for gout.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html