Rheumatoid Arthritis Treatment Recommendations
17 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the recommended frequency for monitoring in patients with active rheumatoid arthritis?

  • Every 2-4 months
  • Every 6-12 months
  • Every 3-6 months
  • Every 1-3 months (correct)

What should be considered if the treatment target is not achieved with the first conventional synthetic disease-modifying antirheumatic drug (csDMARD) strategy?

  • Add a biological DMARD (bDMARD) without further evaluation
  • Continue with the same csDMARD at a higher dose
  • Add a JAK-inhibitor immediately
  • Switch to a different csDMARD without considering poor prognostic factors (correct)

What is the first-line treatment if a patient has a contraindication to methotrexate?

  • Leflunomide (correct)
  • Hydroxychloroquine
  • Anakinra
  • Tocilizumab

When should short-term glucocorticoids be tapered and discontinued in the treatment of rheumatoid arthritis?

<p>As rapidly as clinically feasible (B)</p> Signup and view all the answers

What is the recommended course of action if a biological disease-modifying antirheumatic drug (bDMARD) has failed in a patient?

<p>Switch to another bDMARD (C)</p> Signup and view all the answers

In patients who cannot use conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) as comedication, what may be advantageous compared to other bDMARDs?

<p>IL-6 pathway inhibitors (C)</p> Signup and view all the answers

What should be considered after glucocorticoids have been discontinued and a patient is in sustained remission?

<p>Dose reduction of DMARDs (B)</p> Signup and view all the answers

What should be considered when the treatment target is not achieved with the first csDMARD strategy and poor prognostic factors are present?

<p>Considering a bDMARD while taking pertinent risk factors into account (A)</p> Signup and view all the answers

What is the recommended action if there is no improvement in disease activity within 3 months of starting treatment for rheumatoid arthritis?

<p>Adjust therapy as necessary (C)</p> Signup and view all the answers

In patients with a contraindication to methotrexate, what alternative therapy may be considered?

<p>Leflunomide or sulfasalazine (D)</p> Signup and view all the answers

When should short-term glucocorticoids be tapered and discontinued in the treatment of rheumatoid arthritis?

<p>Gradually and as rapidly as clinically feasible (C)</p> Signup and view all the answers

What is part of the first treatment strategy for rheumatoid arthritis according to recommendations?

<p>(csDMARDs) Conventional Synthetic Disease-Modifying Antirheumatic Drugs (D)</p> Signup and view all the answers

In patients who cannot use conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) as comedication, what is mentioned as having potential advantages over other biological disease-modifying antirheumatic drugs?

<p>IL-6 pathway inhibitors (C)</p> Signup and view all the answers

After glucocorticoids have been discontinued and a patient is in sustained remission, what can be considered for dose reduction according to the text?

<p>Glucocorticoids and/or DMARDs (D)</p> Signup and view all the answers

What is recommended if a biological disease-modifying antirheumatic drug (bDMARD) or a targeted synthetic disease-modifying antirheumatic drug (tsDMARD) has failed according to the text?

<p>Consider adding a conventional synthetic disease-modifying antirheumatic drug (B)</p> Signup and view all the answers

If a patient has failed treatment with one TNF inhibitor, what is recommended in terms of subsequent treatment according to the text?

<p>Use another TNF inhibitor from a different class (B)</p> Signup and view all the answers

When considering treatment options after treatment failure with IL-6 receptor inhibitor therapy, what is recommended according to the text?

<p>Consider switching to a TNF inhibitor (B)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser