Question

A 45-year-old woman with early active rheumatoid arthritis has persistent synovitis in several joints. What is the recommended initial DMARD strategy?

Accepted Answer

Methotrexate monotherapy with rapid treat-to-target escalation

Answer

Hydroxychloroquine monotherapy for all

Answer

Long-term oral steroids alone

Answer

NSAIDs alone

Answer

Biologic therapy first-line without conventional DMARDs

Practice question

A 45-year-old woman with early active rheumatoid arthritis has persistent synovitis in several joints. What is the recommended initial DMARD strategy?