Question

A 30-year-old woman experiences joint swelling in her wrists and small joints of the hands, worse in the morning, lasting more than an hour. Rheumatoid factor is positive. What is the first-line disease-modifying agent recommended by NICE?

Accepted Answer

Methotrexate

Answer

Hydroxychloroquine

Answer

Sulfasalazine

Answer

Leflunomide

Answer

Short-course oral steroids only

Practice question

A 30-year-old woman experiences joint swelling in her wrists and small joints of the hands, worse in the morning, lasting more than an hour. Rheumatoid factor is positive. What is the first-line disease-modifying agent recommended by NICE?