Medical Emergencies · single question

A patient with gout presents for dental care. Which laboratory finding would be most elevated due to the underlying condition?

  1. Serum creatinine
  2. Serum uric acid
  3. Serum glucose
  4. Serum calcium
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Correct answer: B. Serum uric acid

Gout is caused by hyperuricemia — elevated serum uric acid levels — which leads to monosodium urate crystal deposition in joints and soft tissues. The diagnosis of gout is supported by serum uric acid >6.8 mg/dL (the solubility threshold). Acute gout attacks are managed with NSAIDs, colchicine, or corticosteroids. Chronic gout is managed with urate-lowering therapy (allopurinol, febuxostat). For dental management, NSAIDs (commonly used for dental pain) can precipitate acute gout attacks by affecting uric acid excretion. Serum creatinine would be elevated in renal disease, which can be associated with gout but is not the primary finding.

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