Question

A 34-year-old presents with new bilateral wrist and MCP pain; morning stiffness 1 hour; CRP elevated. First-line pharmacologic therapy while arranging DMARD initiation?

Accepted Answer

Oral NSAIDs and start methotrexate promptly if RA diagnosed

Answer

Start long-term oral steroids >= 10 mg/day

Answer

Start hydroxychloroquine only

Answer

Start TNF inhibitor immediately without DMARDs

Answer

No pharmacologic therapy until serologies return

Practice question

A 34-year-old presents with new bilateral wrist and MCP pain; morning stiffness 1 hour; CRP elevated. First-line pharmacologic therapy while arranging DMARD initiation?