Integumentary system Quiz #20, Pharmacotherapy for Rheumatologic Diseases 

1. A 45-year-old female with a history of rheumatoid arthritis (RA) presents to the clinic complaining of persistent joint pain and stiffness despite treatment with methotrexate. She reports taking her medication regularly and has not noticed any improvement in her symptoms. Which of the following is the most appropriate next step in the management of her condition? 

Question 1 of 5

2. A 60-year-old male with gout is being evaluated for treatment options due to recurrent gout attacks. He has a history of renal insufficiency. Which of the following medications is most appropriate for prophylaxis in this patient? 

Question 2 of 5

3. A 35-year-old female with systemic lupus erythematosus (SLE) presents with fatigue, joint pain, and a malar rash. She is concerned about the long-term side effects of her current therapy with glucocorticoids. Which of the following medications would be most appropriate to minimize her exposure to glucocorticoids while managing her SLE? 

Question 3 of 5

4. A 55-year-old male with psoriatic arthritis is not achieving adequate symptom control with NSAIDs. He has a history of tuberculosis treated 10 years ago. Which of the following medications would be most appropriate to add to his regimen? 

Question 4 of 5

5. A 29-year-old female with rheumatoid arthritis (RA) has been treated with methotrexate for the past six months. She now presents with a 2-month history of cough and shortness of breath. A chest X-ray reveals bilateral interstitial infiltrates. Which of the following is the most likely cause of her symptoms? 

Question 5 of 5


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