A 50-year-old woman presents to the rheumatology clinic due to an 8-month history of joint pain and swelling that affects her bilateral wrists, MCP, and PIP joints. She also complains of morning stiffness that usually lasts more than one hour. On examination, there’s swelling and tenderness in her wrists, MCP, and PIP joints. Laboratory tests show elevated ESR and CRP levels along with positive rheumatoid factor and anti-CCP antibodies.
What is the most appropriate first-line disease-modifying treatment for this patient?
More from Year 3
See allA 34-year-old woman presents to the clinic with sudden onset right eye pain and blurred vision that worsens with eye movement for the past 4 days. She denies fe…
A 38-year-old male presents to the dermatology clinic with red, scaly plaques on his back and palms. He reports increased symptoms with stress. He has no histor…
Which of the following is the first-line treatment for an acute gout attack?
A 45-year-old woman presents with progressive tingling in her feet, difficulty walking, and imbalance for the past three months. She also reports generalized fa…
A 25-year-old male is brought to the emergency department after a road traffic accident. On examination, he opens his eyes to pain, speaks incomprehensible soun…