A 62-year-old man with long-standing rheumatoid arthritis has persistent synovitis in multiple joints despite optimal NSAID use. According to modern R...

Question

A 62-year-old man with long-standing rheumatoid arthritis has persistent synovitis in multiple joints despite optimal NSAID use. According to modern RA management, what is the most appropriate next step?

Accepted Answer

Start a conventional synthetic DMARD such as methotrexate and refer to rheumatology early

Answer

Continue NSAIDs only

Answer

Use long-term systemic glucocorticoids alone

Answer

Delay DMARDs until radiographic damage is evident

Answer

Treat with opioids for chronic pain only

ca-mccqe1 MCQ (SBA): Rheumatoid arthritis management

A 62-year-old man with long-standing rheumatoid arthritis has persistent synovitis in multiple joints despite optimal NSAID use. According to modern RA management, what is the most appropriate next step?