Question

A 40-year-old with moderate-to-severe plaque psoriasis has inadequate response to potent topical steroids and vitamin D analogues. Next-line primary care action?

Accepted Answer

Refer for phototherapy or systemic therapy consideration

Answer

Add coal tar only

Answer

Start lifelong systemic steroids

Answer

No further treatment options

Answer

Start methotrexate in primary care without monitoring

Practice question

A 40-year-old with moderate-to-severe plaque psoriasis has inadequate response to potent topical steroids and vitamin D analogues. Next-line primary care action?