A 35-year-old woman presents with symmetrical small joint pain and swelling in the hands and morning stiffness lasting 90 minutes for 3 months. RF and...

Question

A 35-year-old woman presents with symmetrical small joint pain and swelling in the hands and morning stiffness lasting 90 minutes for 3 months. RF and anti-CCP are positive and inflammatory markers are raised. According to best practice, what is the most appropriate initial disease-modifying treatment?

Accepted Answer

Start a conventional DMARD such as methotrexate

Answer

Paracetamol prn

Answer

Non-steroidal anti-inflammatory drugs only

Answer

Hydroxychloroquine monotherapy

Answer

Systemic corticosteroids as sole long-term therapy

au-amc MCQ (SBA): Rheumatoid arthritis