USMLE-Rx Step 2 Qmax Challenge #21615

Check out today’s Step 2 CK Qmax Question Challenge.

Know the answer? Post it in the comments below! Don’t forget to check back for an update with the correct answer and explanation (we’ll post it in the comments section below).

A 67-year-old man presents to a primary care physician as a new patient. He says he has always been healthy, except for three episodes of gout over the past 4 years. He is not currently using any chronic medications, and his only complaint is recurrent episodes of gout, confirmed each time by joint aspiration and microscopic analysis of synovial fluid. His physician advises him that certain lifestyle choices can affect his risk for recurrent episodes of gout.

Which of the following is a risk factor for the development of gout?

A. Alcohol intake
B. High fluid intake
C. High vitamin C intake
D. Low-normal body mass index
E. Low-purine diet


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This practice question is an actual question from the USMLE-Rx Step 2 CK test bank. Get more Step 2 CK study help at


21 thoughts on “USMLE-Rx Step 2 Qmax Challenge #21615”

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