Pediatric Dentistry · single question
A patient with gout and hepatitis presents. What would you expect to find in synovial joint fluid aspiration?
Show answer and explanation
Correct answer: D. Uric acid crystals (monosodium urate)
- A. Calcium pyrophosphate crystals cause PSEUDOGOUT (calcium pyrophosphate deposition disease/CPDD) — a different condition from gout.
- B. Collagen fragments may be seen in OA but are not specific to gout.
- C. Creatinine is a marker of renal function — not deposited in joints.
- D. Correct. Gout is caused by hyperuricemia leading to deposition of monosodium urate (uric acid) crystals in joints. Synovial fluid analysis in acute gout shows negatively birefringent, needle-shaped urate crystals.
Practice Pediatric Dentistry questions Pediatric Dentistry study notes