Methotrexate Perioperative Continuation — FRCA Final MCQ
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Correct answer: D — Continue methotrexate perioperatively
BSR/BHPR and RCOA guidelines recommend CONTINUING methotrexate perioperatively for elective orthopaedic surgery. Stopping increases RA flare risk without clearly reducing infection risk. This is supported by RCT evidence showing no increase in surgical site infections when methotrexate is continued.
Reference: BSR/BHPR – 2023 – Perioperative management of DMARDs; RCOA – 2023