Question

A 52-year-old woman with early rheumatoid arthritis (symptoms 8 weeks, synovitis in MCPs) is referred urgently. What initial disease-modifying approach is recommended?

Accepted Answer

Start methotrexate promptly with short-term steroid bridging

Answer

Delay DMARDs until X-ray erosions appear

Answer

NSAIDs alone

Answer

Hydroxychloroquine monotherapy indefinitely

Answer

Biologics as first-line

Practice question

A 52-year-old woman with early rheumatoid arthritis (symptoms 8 weeks, synovitis in MCPs) is referred urgently. What initial disease-modifying approach is recommended?