All joints are involved in acute gout except:: (A) MTP, (B) Gleno-humeral joint, (C) Ankle joint, (D) Knee joint
Answer is B. Other than the great toe, the most common sites of gouty ahritis are the ankle, wrist, finger joints, and knee. In early gout, only 1 or 2 joints are usually involved. Consider the diagnosis in any patient with acute monoaicular ahritis of any peripheral joint except the glenohumeral joint of the shoulder.