Flexor Tenosynovitis RA — SCE Rheumatology MCQ
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Correct answer: A — Causes carpal tunnel trigger fingers and can progress to tendon rupture requiring urgent surgical intervention
The best answer is “Causes carpal tunnel trigger fingers and can progress to tendon rupture requiring urgent surgical intervention”. Causes carpal tunnel trigger fingers and can progress to tendon rupture requiring urgent surgical intervention is supported by the cited UK or directly applicable specialist authority and best matches the tested threshold, complication or monitoring principle. The remaining choices—“principally late disease, after specialist assessment, after specialist assessment, with clinical reassessment, within a rheumatology pathway”, “rarely needs intervention, with clinical reassessment, with clinical reassessment, within a rheumatology pathway, after safety review”, “principally grip strength, within a rheumatology pathway, within a rheumatology pathway, after safety review”, “Cosmetic principally, after safety review, after safety review, after specialist assessment, with clinical reassessment”—are credible in related rheumatology presentations, but each addresses a different diagnosis, investigation, treatment sequence or complication and does not fit the decisive findings in this stem.
Reference: NICE NG100 rheumatoid arthritis in adults: https://www.nice.org.uk/guidance/ng100/chapter/Recommendations