Question

A 49-year-old woman presents with symmetrical pain and swelling of the small joints of the hands and feet for 4 months, with morning stiffness >1 hour. RF and anti-CCP antibodies are positive. What is the most appropriate referral according to NICE guidance?

Accepted Answer

Urgent rheumatology referral, to be seen within 3 weeks of referral

Answer

Routine rheumatology referral within 18 weeks

Answer

Refer to physiotherapy only

Answer

Start long-term NSAIDs and review in a year

Answer

No referral is needed if symptoms are controlled with Paracetamol

Practice question

A 49-year-old woman presents with symmetrical pain and swelling of the small joints of the hands and feet for 4 months, with morning stiffness >1 hour. RF and anti-CCP antibodies are positive. What is the most appropriate referral according to NICE guidance?