Rheumatoid arthritis foot disease — SCE Rheumatology MCQ

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

EasyInflammatory ArthritisRheumatoid arthritis foot diseaseSCE Rheumatology

A 56-year-old woman with established rheumatoid arthritis reports worsening forefoot pain and difficulty wearing shoes. Examination shows MTP synovitis, callosities and early hallux valgus. She has no ulceration. She takes methotrexate and hydroxychloroquine. What is the most important complication to screen for?

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

Reveal the answer and explanation

Correct answer: B — Foot deformity and ulceration risk

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

Foot deformity and ulceration risk is best because active MTP disease in RA can lead to deformity, callus, altered pressure points and ulceration risk, so foot assessment is important. B is less suitable because aortic root disease is not a typical RA foot complication; C is less suitable because renal artery stenosis is not the key complication of MTP synovitis; D is less suitable because fluoroquinolone tendon rupture is medication-related and not suggested here; E is less suitable because chronic pancreatitis is unrelated to the presentation. Clinical pearl: RA care includes feet; function can deteriorate despite apparently controlled hand disease.

Reference: BSR foot health in inflammatory arthritis guideline