QuestionSBA
QuestionChoice
This is incorrect. The presence of needle-shaped monosodium urate crystals with negative birefringence on synovial fluid analysis confirms the diagnosis of gout.
10027579
d
Positively bifringent needle shaped crystals
QuestionChoice
This is incorrect. Positively bifringent rhomboid-shaped crystals are indicative of pseudogout.
10027577
b
Positively bifringent rhomboid-shaped crystals
QuestionChoice
This is incorrect. The presence of needle-shaped monosodium urate crystals with negative birefringence on synovial fluid analysis confirms the diagnosis of gout.
10027578
c
Gram stain positive and neutrophils present
QuestionChoice
This is correct. Gout is a type of arthritis caused by the accumulation of monosodium urate crystals in and around the joints. The presence of needle-shaped monosodium urate crystals with negative birefringence on synovial fluid analysis confirms the diagnosis of gout.
10027576
a
Negatively bifringent needle-shaped crystals
QuestionChoice
This is incorrect. The presence of needle-shaped monosodium urate crystals with negative birefringence on synovial fluid analysis confirms the diagnosis of gout.
10027580
e
Negatively bifringent rhomboid shaped crystals
Concept
Chapter
2693
4463
Gout
Topic
162
General practice
17913
A 50 year old male attends A&E due to a painful swollen big toe. This has been troubling him for around 24 hours. He feels systemically well, with no shivering or temperatures. He denies any trauma to the joint.

On examination, central obesity is noted. Their left big toe appears swollen and inflamed around the metatarsophalangeal joint.

An aspiration of the affected joint is performed, and the synovial fluid is analysed.

Which of the following synovial fluid analysis findings would indicate a diagnosis of gout?
a