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RA Comorbidity Screening — SCE Rheumatology MCQ

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HardRheumatoid ArthritisRA Comorbidity ScreeningSCE Rheumatology

A patient with rheumatoid arthritis is in remission but smokes and has hypertension and dyslipidaemia. What comorbidity action remains necessary?

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Correct answer: BEstimate cardiovascular risk regularly and treat each modifiable factor

Cardiovascular risk in rheumatoid arthritis reflects conventional risk factors and inflammatory burden. Remission does not remove the need for smoking cessation, blood-pressure and lipid management and primary-prevention decisions using the national cardiovascular pathway.

Reference: NICE NG100: rheumatoid arthritis — monitoring and annual review (Updated October 2020; surveillance reviewed November 2024): https://www.nice.org.uk/guidance/ng100/chapter/Recommendations#monitoring; NICE NG238: cardiovascular disease risk assessment and reduction — recommendations (Published December 2023; updated September 2025): https://www.nice.org.uk/guidance/ng238/chapter/recommendations