Question

A 36-year-old woman with long-standing seropositive rheumatoid arthritis has active disease with multiple swollen joints despite NSAIDs. What is the most appropriate next step in management?

Accepted Answer

Start Methotrexate under specialist supervision

Answer

Continue NSAIDs alone and review in 6 months

Answer

Start long-term oral Prednisolone monotherapy

Answer

Refer only for physiotherapy

Answer

Use opioid analgesia alone

Practice question

A 36-year-old woman with long-standing seropositive rheumatoid arthritis has active disease with multiple swollen joints despite NSAIDs. What is the most appropriate next step in management?