This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Orthopaedics
What is the most likely diagnosis of this case? 
Select and explain. 
A. Osteo myelitis, B. Gout, C. Vasculitis, D. RA
B: Gout
Answer: B: Gout 
Explanation: Ans. B. GoutIn this there is swelling and inflammation in great toe. This due to inflammation in the synovial membrane of joint. This is also known as podagra.