A 58-year-old woman with long-standing rheumatoid arthritis has persistent synovitis of multiple joints despite regular NSAID use. According to Canadi...

Question

A 58-year-old woman with long-standing rheumatoid arthritis has persistent synovitis of multiple joints despite regular NSAID use. According to Canadian Rheumatology Association guidelines, what is the next most appropriate step?

Accepted Answer

Start a conventional synthetic disease-modifying antirheumatic drug such as methotrexate

Answer

Continue NSAIDs only and monitor annually

Answer

Start long-term high-dose oral prednisone without DMARDs

Answer

Use opioids for chronic pain control as primary therapy

Answer

Delay treatment until radiographic erosions appear

ca-mccqe1 MCQ (SBA): Rheumatoid arthritis

A 58-year-old woman with long-standing rheumatoid arthritis has persistent synovitis of multiple joints despite regular NSAID use. According to Canadian Rheumatology Association guidelines, what is the next most appropriate step?