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Heberden Bouchard Nodes — SCE Rheumatology MCQ

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HardOsteoarthritisHeberden Bouchard NodesSCE Rheumatology

A patient with active psoriatic arthritis has recurrent anterior uveitis and moderately active Crohn disease despite methotrexate. Axial and peripheral musculoskeletal activity both require a biologic. Which mechanism best covers the complete phenotype?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: CA monoclonal TNF inhibitor such as adalimumab or infliximab

Explanation lettering: B = shown as A · A = shown as B · E = shown as C · C = shown as E

Correct answer is E. EULAR directs mechanism choice by extra-musculoskeletal disease: a monoclonal anti-TNF treats PsA and is preferred for recurrent uveitis while also treating Crohn disease. A is less reliable for uveitis and does not treat IBD. B may worsen active IBD. C is not a preferred axial or bowel agent. D cannot control the stated systemic domains.

Reference: EULAR recommendations for PsA pharmacological treatment 2023: https://ard.bmj.com/content/83/6/706