Question

A 44-year-old woman has 6 months of symmetrical pain and swelling in the small joints of her hands and feet with morning stiffness lasting over an hour. Rheumatoid factor and anti-CCP antibodies are positive. X-rays show early erosions. What is the most appropriate management strategy?

Accepted Answer

Start methotrexate and refer early to a rheumatologist

Answer

Non-steroidal anti-inflammatory drugs alone

Answer

Start long-term oral prednisolone monotherapy

Answer

Delay disease-modifying therapy until erosions progress

Answer

Use opioids for pain control only

Practice question

A 44-year-old woman has 6 months of symmetrical pain and swelling in the small joints of her hands and feet with morning stiffness lasting over an hour. Rheumatoid factor and anti-CCP antibodies are positive. X-rays show early erosions. What is the most appropriate management strategy?