ca-mccqe1 MCQ (SBA): Rheumatoid arthritis

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A 50-year-old woman presents with 3 months of morning stiffness lasting more than 1 hour, pain and swelling of the metacarpophalangeal and proximal interphalangeal joints bilaterally and elevated inflammatory markers. Rheumatoid factor and anti-CCP antibodies are positive. What is the most appropriate next step in management?

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ca-mccqe1 MCQ: Rheumatoid arthritis — Answer & Explanation | iatroX