Question

A 48-year-old woman presents with 3 months of symmetrical pain and swelling of the small joints of the hands and morning stiffness lasting 90 minutes. RF and anti-CCP are positive and X-rays show early erosions. What is the most appropriate management?

Accepted Answer

Start methotrexate and refer to rheumatology

Answer

Start NSAIDs only and review in 6 months

Answer

Start long-term oral prednisolone alone

Answer

Use glucosamine supplements

Answer

Delay treatment until erosions progress

Practice question

A 48-year-old woman presents with 3 months of symmetrical pain and swelling of the small joints of the hands and morning stiffness lasting 90 minutes. RF and anti-CCP are positive and X-rays show early erosions. What is the most appropriate management?