<prompt> In a patient with gouty ahritis, synol fluid aspiration will show-Needle shaped crystalsRhomboid shaped crystalsMononuclear leucocytosisPolymorphonuclear leukocytosis  <response>: During acute gouty attacks, needle-shaped MSU crystals typically are seen both intracellularly and extracellularly . With compensated polarized light, these crystals are brightly birefringent with negative elongation. Ref - Harrisons 20e p2632 