skip to main content

Biologic infection — SCE Rheumatology MCQ

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

EasyRheumatological pharmacologyBiologic infectionSCE Rheumatology

A 60-year-old man on adalimumab develops fever and productive cough. Examination shows crackles are present at the right base. Investigations show CRP is 122 mg/L and chest radiograph shows consolidation. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: E — Withhold biologic and treat infection

Withhold biologic and treat infection is the safest management step for this treatment-related scenario. The alternatives either continue a potentially harmful drug, omit essential monitoring, or address the wrong risk. Shared-care DMARD prescribing depends on clear monitoring thresholds and rapid communication with rheumatology.

Reference: BNF; SPS DMARD monitoring guidance; BSR DMARD prescribing guideline