Question

A 40-year-old man presents with low back pain and morning stiffness lasting more than 30 minutes, improving with exercise. X-ray reveals sacroiliitis. Suspected ankylosing spondylitis. Which medication is first-line for symptomatic relief according to NICE?

Accepted Answer

NSAIDs (e.g., ibuprofen)

Answer

High-dose oral steroids

Answer

Biologic therapy (TNF inhibitors)

Answer

Colchicine

Answer

Bisphosphonates

Practice question

A 40-year-old man presents with low back pain and morning stiffness lasting more than 30 minutes, improving with exercise. X-ray reveals sacroiliitis. Suspected ankylosing spondylitis. Which medication is first-line for symptomatic relief according to NICE?