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Suspected rheumatoid arthritis — PARA MCQ

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ModerateMusculoskeletal - Inflammatory arthritisSuspected rheumatoid arthritisPARA

A 39-year-old woman has symmetrical pain and swelling of the MCP and PIP joints with morning stiffness lasting 90 minutes. ESR is raised. What is the most appropriate investigation?

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Correct answer: A — Anti-CCP antibodies and rheumatoid factor with baseline hand and foot X-rays

Suspected rheumatoid arthritis should be assessed with inflammatory markers, rheumatoid factor, anti-CCP antibodies and imaging for erosions, alongside early specialist referral.

Reference: NICE NG100: Rheumatoid arthritis