A 48-year-old male with RA has a PAS score of 4.5 after 4 months of methotrexate monotherapy. He has no contraindications to other therapies. According to the treatment algorithm, what is the next most appropriate step?

Question

Answer

Add a short course of high-dose prednisone.

Answer

Add a TNF-inhibitor or another non-biologic DMARD.

Answer

Switch to tofacitinib.

Answer

Increase methotrexate to 25 mg/week and reassess in 3 months.

Answer

Add hydroxychloroquine.

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A 48-year-old male with RA has a PAS score of 4.5 after 4 months of methotrexate...

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