Question

A 48-year-old woman with long-standing poorly controlled rheumatoid arthritis presents with progressive exertional dyspnoea and dry cough. She has no smoking history. Chest imaging shows interstitial changes. Which of the following best describes the relationship between RA and her current lung disease?

Accepted Answer

RA is associated with interstitial lung disease, and evaluation by respirology and rheumatology is indicated to confirm RA-associated ILD and guide treatment

Answer

RA cannot cause lung disease; this must be unrelated

Answer

RA is associated with interstitial lung disease, and methotrexate should always be stopped immediately

Answer

RA only causes pleural effusions, not interstitial lung disease

Answer

This is likely COPD from second-hand smoke exposure

Practice question