A 40-year-old man attends for review of long-standing rheumatoid arthritis. He has symmetrical small joint swelling, prolonged morning stiffness and e...

Question

A 40-year-old man attends for review of long-standing rheumatoid arthritis. He has symmetrical small joint swelling, prolonged morning stiffness and elevated inflammatory markers. What is the most appropriate initial disease-modifying treatment?

Accepted Answer

Start a disease-modifying antirheumatic drug such as Methotrexate

Answer

Paracetamol alone

Answer

Long-term oral Prednisolone without other therapy

Answer

Start opioid analgesics only

Answer

Intra-articular steroid injections only

uk-plab-1 MCQ (SBA): Rheumatoid arthritis initial DMARD therapy

A 40-year-old man attends for review of long-standing rheumatoid arthritis. He has symmetrical small joint swelling, prolonged morning stiffness and elevated inflammatory markers. What is the most appropriate initial disease-modifying treatment?