A 34-year-old male presents with a 3-month history of symmetric joint pain and stiffness. Labs show positive anti-CCP, positive RF, and an ESR of 32 mm/hr. His Patient Activity Scale (PAS) score is 2.5. What is the most appropriate initial treatment?

Question

Answer

Methotrexate 7.5 mg PO once weekly + folic acid + a short course of prednisone.

Answer

Sulfasalazine monotherapy.

Answer

Adalimumab 40 mg subcut every other week.

Answer

Hydroxychloroquine monotherapy.

Answer

Methotrexate 7.5 mg PO once weekly + folic acid.

Crowdly

A 34-year-old male presents with a 3-month history of symmetric joint pain and s...

Want instant access to all verified answers on moodle.najah.edu?