RA - Mx

Question 1

Mx if RA is suspected?

Answer 1

2 week referral to early arthritis clinic

Question 2

Management of flareups?

Answer 2

1. Glucorticoids

2. NSAIDS

Question 3

First line treatment of moderate to severe RA?

Answer 3

1. DMARD -

first line : Methotrexate

Question 4

Name 3 major side effects of Methorexate?

Answer 4

1. Lungs - pulmonary fibrosis/ interstitial pneumonitis
2. Liver - Hepatotoxicity
3. Kidneys - Nephrotoxicity

Question 5

When is second line treatment of moderate to severe RA indicated?

Answer 5

If not controlled with 3 months of DMARD therapy

Question 6

Second line treatment of moderate to severe RA?

Answer 6

1. Biologic therapy

First line : TNF alpha inhibitor
e.g. Adalimumab, infliximab

Question 7

Name 3 non pharmacological intervention for RA?

Answer 7

1. Education
2. Physical therapy
3. Occupational therapy
4. Podiatry