A 50-year-old woman presents with bilateral symmetrical swelling, pain, and stiffness in the small joints of her hands (MCP and PIP joints) and feet (...

Question

A 50-year-old woman presents with bilateral symmetrical swelling, pain, and stiffness in the small joints of her hands (MCP and PIP joints) and feet (MTP joints). The stiffness is worse in the morning and lasts for over an hour. Symptoms started 3 months ago. What is the most important initial investigation to request from primary care?

Accepted Answer

Rheumatoid Factor (RF) and Anti-CCP antibodies

Answer

Antinuclear Antibodies (ANA)

Answer

Serum Uric Acid

Answer

X-rays of hands and feet

Answer

HLA-B27 typing

ukmla MCQ (SBA): Rheumatoid Arthritis Diagnosis