A 35-year-old woman presents with a 3-month history of symmetrical pain and swelling in the small joints of her hands (MCPs and PIPs) and feet (MTPs)....

Question

A 35-year-old woman presents with a 3-month history of symmetrical pain and swelling in the small joints of her hands (MCPs and PIPs) and feet (MTPs). Morning stiffness lasts for 2 hours. Rheumatoid factor is positive. What is the recommended initial management strategy according to NICE guidelines?

Accepted Answer

Conventional DMARD monotherapy (e.g., Methotrexate) with short-term bridging steroids

Answer

High-dose NSAIDs and physiotherapy

Answer

Long-term oral corticosteroids

Answer

Biologic therapy (e.g., Adalimumab)

Answer

Wait and watch approach

ukmla MCQ (SBA): Rheumatoid Arthritis