The correct answer is (c) gout
Explanation: Excess of uric acid causes gout. In duodenal ulcer, the ampulla is involved in the inflammatory process thus blocking secretion of pancreatic juice into the duodenum. Macroamylasemia results due to increase in plasma amylase with decrease in urinary excretion. Sphincter of oddi results due to contraction of pancreatic duct sphincter.