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: Biochemistry
[{'content': 'False regarding gout is: \nSelect and explain. \nA. Due to increased metabolism of pyrimidines, B. Due to increased metabolism of purines, C. Uric acid levels may not be elevated, D. Has a predilection for the great toe', 'role': 'user'}, {'content': "Answer: A \nExplanation: Gout is due to disorder of purine metabolism which result in excess formation of uric acid which in turn accumulate in synol fluid resulting in gouty ahritis. Ref: Textbook of Biochemistry By DM Vasudevan, 3rd Edition, Pages 339 ; Lippincott Biochemistry, 2nd edition, Pages 350, 353 ; Harrison's Principles of Internal Medicine, 14th Edition, Pages 2161, 15th Edition, Pages 1994-95 ; Davidson's Medicine, 17th Edition, Page 882", 'role': 'assistant'}]