A 58-year-old woman with rheumatoid arthritis, well-controlled on methotrexate 15mg weekly and folic acid 5mg weekly, complains of increasing shortnes...

Question

A 58-year-old woman with rheumatoid arthritis, well-controlled on methotrexate 15mg weekly and folic acid 5mg weekly, complains of increasing shortness of breath and a dry cough over the past 3 months. A chest X-ray shows bilateral interstitial infiltrates. Pulmonary function tests show a restrictive pattern with reduced diffusion capacity (DLCO). What is the most likely cause of her respiratory symptoms?

Accepted Answer

Rheumatoid arthritis-associated interstitial lung disease (RA-ILD)

Answer

Methotrexate-induced pneumonitis

Answer

Community-acquired pneumonia

Answer

Pulmonary embolism

Answer

Heart failure

mrcp part 1 MCQ (SBA): Rheumatoid Arthritis / Interstitial Lung Disease