KROK 1 2008 – Question 34 · KROK (Medicine) · Biological Chemistry

A 65 year old man suffering from gout complains of kidney pain. Ultrasound examination revealed renal calculi. The most probable cause of calculi formation is the strengthened concentration of the following substance:

  1. A. Bilirubin
  2. B. Cholesterol
  3. C. Cystine
  4. D. Uric acid
  5. E. Urea
Hint

Gout is a disorder of purine breakdown, so consider which poorly soluble end product of that pathway crystallises in acidic urine and forms stones.

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