A 65-year-old woman complains of morning stiffness in her hands lasting more than an hour and symmetrical PIP joint swelling. Rheumatoid factor is pos...

Question

A 65-year-old woman complains of morning stiffness in her hands lasting more than an hour and symmetrical PIP joint swelling. Rheumatoid factor is positive. According to NICE, what is the recommended first-line DMARD for rheumatoid arthritis?

Accepted Answer

Methotrexate

Answer

Hydroxychloroquine

Answer

Sulfasalazine

Answer

Leflunomide

Answer

Biologic therapy (TNF inhibitor) immediately

NICE Rheumatoid Arthritis Guideline MCQ (SBA): Rheumatoid Arthritis

A 65-year-old woman complains of morning stiffness in her hands lasting more than an hour and symmetrical PIP joint swelling. Rheumatoid factor is positive. According to NICE, what is the recommended first-line DMARD for rheumatoid arthritis?