skip to main content

RA cardiovascular risk — SCE Rheumatology MCQ

Instant feedback + full explanation. One question, done properly.

EasyRheumatoid arthritisRA cardiovascular riskSCE Rheumatology

A 62-year-old woman with RA has controlled synovitis but asks about long-term risk reduction. Examination shows blood pressure is 148/92 mmHg and BMI is 31 kg/m2. Investigations show lipids show QRISK3 above the treatment threshold. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: A — Standard cardiovascular primary prevention

RA is associated with increased cardiovascular risk, so hypertension, lipids and smoking should be managed actively using usual prevention pathways. Routine aspirin or annual coronary CT is not a standard RA-specific prevention strategy. Inflammation control helps, but cardiovascular prevention must not be missed during rheumatology follow-up.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/musculoskeletal-conditions