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Transition care — SCE Rheumatology MCQ

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EasyPaediatric RheumatologyTransition careSCE Rheumatology

A 17-year-old with polyarticular JIA is transferring to adult rheumatology. Disease is controlled on methotrexate but she has missed recent blood tests and is planning university away from home. She wants more responsibility for prescriptions and appointments. What is the most appropriate management?

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

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Correct answer: B — Arrange structured transition with shared self-management planning

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

Arrange structured transition with shared self-management planning is best because young people with JIA need planned transition addressing medicines, monitoring, self-management and adult-service contact. A is less suitable because records transfer alone is not adequate transition; B is less suitable because age alone is not a reason to stop methotrexate; D is less suitable because developmentally appropriate autonomy should be encouraged; E is less suitable because discharge without adult follow-up risks loss to care. Clinical pearl: transition is a clinical intervention, not an administrative handover.

Reference: NICE transition guideline NG43; BSR JIA guidance