A 45-year-old woman has symmetric inflammatory polyarthritis of the hands for 4 months, with elevated CRP and positive anti-CCP antibodies. X-rays sho...

Question

A 45-year-old woman has symmetric inflammatory polyarthritis of the hands for 4 months, with elevated CRP and positive anti-CCP antibodies. X-rays show early erosions. What is the most appropriate next step in management?

Accepted Answer

Refer to rheumatology and start methotrexate as a disease-modifying antirheumatic drug

Answer

Start non-steroidal anti-inflammatory drugs only and observe

Answer

Start low-dose prednisone indefinitely

Answer

Delay DMARDs until radiographic damage is more advanced

Answer

Treat with opioids for pain control only

ca-mccqe1 MCQ (SBA): Rheumatoid arthritis

A 45-year-old woman has symmetric inflammatory polyarthritis of the hands for 4 months, with elevated CRP and positive anti-CCP antibodies. X-rays show early erosions. What is the most appropriate next step in management?