31st January 2024

A 55-year-old man who is obese with a BMI of 33, smokes 20 a day and consumes 16 pints of beer in a week and litres of sugar-free soft drinks, has had 4 attacks of gout this year.

A 55-year-old man who is obese with a BMI of 33, smokes 20 a day and consumes 16 pints of beer in a week and litres of sugar-free soft drinks, has had 4 attacks of gout this year. He is hypertensive and diabetic and takes ramipril, Bendroflumethiazide and metformin. He also takes over-the-counter paracetamol and ibuprofen for pain. 

Which of the following is not associated with gout?