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RA Review Frequency — SCE Rheumatology MCQ

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HardRheumatoid ArthritisRA Review FrequencySCE Rheumatology

At an RA review the 28-joint tender count is 0, swollen count 1, CRP 0.6 mg/dL and patient global assessment 1.8/10. Does this meet the revised Boolean 2.0 remission definition?

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

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Correct answer: E — Yes: TJC, SJC and CRP are ≤1; patient global is ≤2

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

C is correct. Boolean 2.0 permits tender count, swollen count and CRP in mg/dL each up to 1, with patient global up to 2 on a 0–10 scale; all four values satisfy those thresholds. A incorrectly requires zero swollen joints. B uses the older patient-global threshold. D adds an index requirement to an alternative remission definition. E changes both the unit and the threshold.

Reference: EULAR Boolean 2.0 rheumatoid-arthritis remission definition: https://ard.bmj.com/content/82/1/74