A 46-year-old woman presents with painful swollen MCP and PIP joints of both hands for 4 months with morning stiffness lasting over an hour. ESR and C...

Question

A 46-year-old woman presents with painful swollen MCP and PIP joints of both hands for 4 months with morning stiffness lasting over an hour. ESR and CRP are elevated, and rheumatoid factor and anti-CCP are positive. X-rays show no erosions. What is the recommended initial disease-modifying treatment?

Accepted Answer

Methotrexate as first-line disease-modifying antirheumatic drug

Answer

Non-steroidal anti-inflammatory drugs alone

Answer

Low-dose prednisolone monotherapy

Answer

Hydroxychloroquine only

Answer

Biologic TNF inhibitor as first-line therapy

au-amc MCQ (SBA): Rheumatoid arthritis