A 45-year-old woman has a 6-month history of early morning joint stiffness lasting over an hour, symmetrical swelling of the metacarpophalangeal and p...

Question

A 45-year-old woman has a 6-month history of early morning joint stiffness lasting over an hour, symmetrical swelling of the metacarpophalangeal and proximal interphalangeal joints, and raised inflammatory markers. Hand X-rays are normal. What is the most appropriate management?

Accepted Answer

Refer urgently to rheumatology for early DMARD therapy

Answer

Start long-term NSAIDs only

Answer

Reassure as findings are non-specific

Answer

Offer physiotherapy alone

Answer

Start long-term oral steroids without referral

uk-plab-1 MCQ (SBA): Rheumatoid arthritis

A 45-year-old woman has a 6-month history of early morning joint stiffness lasting over an hour, symmetrical swelling of the metacarpophalangeal and proximal interphalangeal joints, and raised inflammatory markers. Hand X-rays are normal. What is the most appropriate management?