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
All are true about gout except - 
Select and explain. 
A. Is caused by purine metabolism disorder, B. Causes scleritis, C. Causes tophi in the extraocular muscle tendon, D. Is directly related to alcohol consumption
D: Is directly related to alcohol consumption
Answer: D: Is directly related to alcohol consumption 
Explanation: None