A 48-year-old with RA (on methotrexate) has active disease. Which DMARD adjustment aligns with current guideline?...

Question

A 48-year-old with RA (on methotrexate) has active disease. Which DMARD adjustment aligns with current guideline?

Accepted Answer

Switch to biologic DMARD if poor prognostic features persist despite methotrexate

Answer

Add chronic oral prednisone >=10 mg/day long-term

Answer

Stop methotrexate and use NSAIDs only

Answer

Delay escalation for 6 months

Answer

Add hydroxychloroquine and continue high disease activity without reassessment

us-abim MCQ (SBA): Rheumatoid Arthritis-Treat-to-Target