This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Joint disorders, Subject name: Orthopaedics
[{'content': 'Most common joint involved in Gout y ahritis is ? \nSelect and explain. \nA. Knee joint, B. Hip joint, C. MP joint of the big toe, D. MP joint of thumb', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Gout: Disturbed purine metabolism leading to ecxessive accumulation of uric acid in the blood -an inherited disorder ;or impaired excretion of uric acid by kidneys.result is accumulation of sodium bicarbonte crystals in soft tissues.Tisues of predliction are cailages,tendon ,bursa. Patient ,beyond 40 years of age, presents as 1.ahritis-MP joint of big toe is ourite site,acute severe pain 2.bursitis-commonly of olecranon bursa 3.tophi formation deposit of uric acid salt in soft tissue. Treatment: NSAIDS,uricosuric drugs,uric acid inhibitors. REF:Essential Ohopaedics.Maheswari &Mhaskar.Edition 9.Pg no:293', 'role': 'assistant'}]