Question

A 63-year-old with rheumatoid arthritis (seropositive, moderate disease activity) is methotrexate-naïve. What is the recommended initial DMARD strategy?

Accepted Answer

Start methotrexate with treat-to-target strategy

Answer

Start chronic prednisone 10 mg daily monotherapy

Answer

Start hydroxychloroquine only for all RA patients

Answer

Delay therapy until erosions appear

Answer

Start TNF inhibitor immediately without csDMARD

Practice question

A 63-year-old with rheumatoid arthritis (seropositive, moderate disease activity) is methotrexate-naïve. What is the recommended initial DMARD strategy?