Final answer:
The patient's joint problem is most likely due to monosodium urate crystals, which are responsible for gout, a form of arthritis characterized by the accumulation of uric acid crystals in the joints.
Step-by-step explanation:
The patient's joint problem is most likely due to d) Monosodium urate crystals. Monosodium urate crystals are responsible for a condition called gout, which is a form of arthritis characterized by the accumulation of uric acid crystals in the joints. This can cause swelling, redness, and pain, as well as other symptoms.