Question

A 58-year-old woman with long-standing RA on methotrexate presents with breathlessness and dry cough. CXR shows interstitial changes. Most appropriate immediate action?

Accepted Answer

Stop methotrexate and arrange urgent respiratory assessment

Answer

Increase methotrexate dose

Answer

Add folic acid only

Answer

Empirical antibiotics for 7 days

Answer

Switch to leflunomide immediately without assessment

Practice question

A 58-year-old woman with long-standing RA on methotrexate presents with breathlessness and dry cough. CXR shows interstitial changes. Most appropriate immediate action?