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 Best of Five 23

 

   

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BOF: 23

A 35-year-old female presents with a mutilating arthritis of the hands with associated pitting of the nails.

In treating this patient  

a)      Sulphasalazine is unlikely to be effective

b)      Methotrexate is unlikely to be effective

c)      Antimalarials are best avoided

d)      Tumour necrosis factor alpha antagonists are not effective

e)      Oral corticosteroids should be the drugs of first choice as they help the nail condition as well    

 

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