A 52-year-old has four months of symmetric MCP and PIP synovitis, morning stiffness of 90 minutes, positive anti-CCP and elevated CRP. What is the

Question

A 52-year-old has four months of symmetric MCP and PIP synovitis, morning stiffness of 90 minutes, positive anti-CCP and elevated CRP. What is the most important management step after confirming the diagnosis?

Accepted Answer

Refer for disease-modifying antirheumatic treatment

Answer

Use opioid therapy as the primary strategy to preserve joint function

Answer

Use NSAID monotherapy for six months before referral

Answer

Begin disease-modifying treatment after radiographic erosions develop

Answer

Use long-term high-dose glucocorticoid monotherapy

ARDS — RCPSC IM MCQ

A 52-year-old has four months of symmetric MCP and PIP synovitis, morning stiffness of 90 minutes, positive anti-CCP and elevated CRP. What is the most important management step after confirming the diagnosis?