Question 1074
{"accessible":true,"alternatives":[{"id":5377,"text":"1st toe"},{"id":5378,"text":"2nd toe"},{"id":5379,"text":"3rd toe"},{"id":5380,"text":"4th toe"},{"id":5381,"text":"5th toe"}],"archived":false,"correctAlternativeId":5378,"explanation":"\u003cp\u003eThere is a juxta-articular erosion at the medial aspect head of the second\u0026nbsp;middle phalanx and also at the lateral aspect base of the second distal phalanx. These appear punched-out, with the middle phalanx erosion demonstrating an \u003ca href=\"/articles/rat-bite-erosions-gout\"\u003eoverhanging edge\u003c/a\u003e, highly suggestive of \u003ca href=\"/articles/gout\"\u003egout\u003c/a\u003e. Mild associated soft tissue swelling. No convincing radiographic evidence of gout elsewhere in the foot.\u0026nbsp;\u003c/p\u003e","id":1074,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/673/images-for-mcqs-2_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":42436},"imageAttributionCaseInfo":{"title":"Subtle toe gout erosion","contributor_name":"Craig Hacking","contributor_param":"hackingc","case_rid":42436,"case_param":"subtle-toe-gout-erosion"},"firstQuestionPath":"/questions/2578","nextQuestionPath":"/articles/gout/questions/65","relatedArticles":[],"alsoUsedIn":[{"id":233,"kind":"RestrictedPage","title":"Page 233 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/233"},{"id":236,"kind":"Course","title":"Radiology Review Course - Melbourne - page 236","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/236"},{"id":236,"kind":"Course","title":"Radiology Review Course - Melbourne - page 236","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2018/pages/236"},{"id":236,"kind":"Course","title":"Radiology Review Course - Melbourne - page 236","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/236"},{"id":236,"kind":"Course","title":"Radiology Review Course - page 236","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/236"},{"id":637,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 637","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/637"},{"id":637,"kind":"Course","title":"Musculoskeletal Lectures - page 637","link":"https://radiopaedia.org/courses/musculoskeletal-lectures/pages/637"},{"id":637,"kind":"Course","title":"2020 Virtual Conference Private Use - page 637","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/637"},{"id":925,"kind":"RestrictedPage","title":"Page 925 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/925"},{"id":926,"kind":"RestrictedPage","title":"Page 926 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/926"},{"id":1430,"kind":"RestrictedPage","title":"Page 1430 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/1430"},{"id":2033,"kind":"Course","title":"X-ray Interpretation: Foot \u0026 Ankle Injuries Peer Review - page 2033","link":"https://radiopaedia.org/courses/x-ray-interpretation-foot-ankle-injuries-peer-review/pages/2033"},{"id":2033,"kind":"Course","title":"X-ray Interpretation: Foot \u0026 Ankle Injuries - page 2033","link":"https://radiopaedia.org/courses/x-ray-interpretation-foot-ankle-injuries/pages/2033"}],"stem":"\u003cp\u003eThis 70-year-old woman presented with\u0026nbsp;foot pain. Which toe shows evidence of gout?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1074"}],"attemptsPercentages":[{"alternativeId":"5377","percentage":50},{"alternativeId":"5378","percentage":36},{"alternativeId":"5379","percentage":2},{"alternativeId":"5381","percentage":7},{"alternativeId":"5380","percentage":5}],"promptToLogin":false,"questionManager":false,"articleId":"gout"}