Question

A 35-year-old woman with a history of rheumatoid arthritis (RA) complains of worsening morning stiffness lasting more than an hour. On examination, there is synovitis of the small joints of the hands. Which medication is considered the first-line disease-modifying antirheumatic drug (DMARD)?

Accepted Answer

Methotrexate

Answer

Sulfasalazine

Answer

Leflunomide

Answer

Hydroxychloroquine

Answer

Biological agent (e.g., TNF inhibitor)

Practice question

A 35-year-old woman with a history of rheumatoid arthritis (RA) complains of worsening morning stiffness lasting more than an hour. On examination, there is synovitis of the small joints of the hands. Which medication is considered the first-line disease-modifying antirheumatic drug (DMARD)?