This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Medicine
[{'content': 'All are true about gout except - \nSelect and explain. \nA. Is caused by purine metabolism disorder, B. Causes scleritis, C. Causes tophi in the extraocular muscle tendon, D. Is directly related to alcohol consumption', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]