Rheumatoid arthritis — SCE Rheumatology MCQ
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Correct answer: E — Continue clinical monitoring; ultrasound should not drive routine escalation
Explanation lettering: C = shown as A · A = shown as C
E is correct. NICE advises against ultrasound for routine RA disease-activity monitoring. Imaging can answer selected diagnostic questions, but treating every subclinical Doppler signal has not shown sufficient benefit to replace validated clinical assessment and may cause overtreatment. DAS28 remission also does not justify abrupt DMARD withdrawal; treatment decisions remain individualised.
Reference: NICE NG100: rheumatoid arthritis recommendations. https://www.nice.org.uk/guidance/ng100/chapter/Recommendations