Question

A 45-year-old woman with newly diagnosed rheumatoid arthritis has active synovitis in multiple small joints. She has normal renal and liver function. What is the recommended initial disease-modifying therapy?

Accepted Answer

Methotrexate as first-line DMARD

Answer

Non-steroidal anti-inflammatory drugs alone

Answer

Long-term systemic corticosteroids alone

Answer

Hydroxychloroquine only

Answer

No DMARD until joint damage is seen on X-ray

Practice question

A 45-year-old woman with newly diagnosed rheumatoid arthritis has active synovitis in multiple small joints. She has normal renal and liver function. What is the recommended initial disease-modifying therapy?