A 50-year-old woman with long-standing rheumatoid arthritis, treated with methotrexate and adalimumab, presents with a persistent dry cough and increa...

Question

A 50-year-old woman with long-standing rheumatoid arthritis, treated with methotrexate and adalimumab, presents with a persistent dry cough and increasing shortness of breath over several months. A high-resolution CT scan of the chest shows bibasal reticular opacities and honeycombing. Pulmonary function tests show a restrictive pattern with reduced gas transfer (DLCO). What is the most likely diagnosis?

Accepted Answer

Rheumatoid arthritis-associated interstitial lung disease (RA-ILD)

Answer

Methotrexate-induced pneumonitis

Answer

Tuberculosis

Answer

Bronchiectasis

Answer

Heart failure

mrcp part 1 MCQ (SBA): Rheumatoid Arthritis-Associated ILD