# Patient presents with acute ______ arthritis affecting multiple joints.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168373  
> language: ko  
> subject: Diseases of the musculoskeletal system and connective tissue

## 문제

Patient presents with acute ______ arthritis affecting multiple joints.

ER Season 12 Episode 15

## 보기

1. gouty **✔ 정답**
2. rheumatoid
3. septic
4. reactive
5. psoriatic

**정답: 1**

## 해설

Gouty' arthritis typically presents with acute, severe joint pain and inflammation, often affecting multiple joints.

## 임상 시나리오

Key Points about Gouty Arthritis:

- Caused by hyperuricemia (elevated uric acid levels)
- Common sites: first MTP joint (big toe), ankles, knees
- Symptoms: sudden onset, severe pain, redness, swelling
- Risk factors: obesity, alcohol, high-purine diet, diuretics
- Diagnostic tests: serum uric acid, synovial fluid analysis
- Crystal formation: monosodium urate crystals
- Treatment options: NSAIDs, colchicine, corticosteroids
- Prevention: allopurinol, lifestyle modifications
- Associated conditions: kidney stones, tophi formation
- Triggers: trauma, surgery, dehydration, certain medications

## 핵심 개념

- **gouty** — A form of arthritis caused by excess uric acid in the blood, leading to crystal deposits in joints causing sudden, severe pain and inflammation
- **rheumatoid** — A chronic autoimmune disorder causing inflammation of joints, typically affecting multiple joints symmetrically
- **septic** — A type of arthritis caused by bacterial infection in the joint, characterized by rapid onset of severe pain, swelling, and fever
- **reactive** — A form of arthritis that develops in response to an infection in another part of the body, typically occurring weeks after the infection
- **psoriatic** — A type of inflammatory arthritis that typically occurs in people with psoriasis, causing joint pain, stiffness, and swelling

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