📢 PSA to all Rheum & Boards fans: New questions have been added! 1️⃣ A 32-year-old female patient with seropositive rheumatoid arthritis who has failed three months of methotrexate monotherapy. She comes into your office with a specific demand of starting a tumor necrosis factor inhibitor, BUT she deplores monoclonal antibodies with Fc portions. Which of the following therapeutics would appease her? 2️⃣ A 32-year-old male presents with multiple raised lesions on skin, somewhat itchy but otherwise feeling well. He also notes a 3-month history of joint pain, primarily in his hands and ankles, with some swelling. He is seen by dermatology where a biopsy is conducted, which shows dermal edema consistent with urticaria but also leukocytoclastic vasculitis, after which, he is diagnosed with urticarial vasculitis. Which important test that could help with overall prognosis/disease course? 3️⃣ A patient is admitted to the hospital for episodic fevers, rash and joint pain. During the workup the patient was noted to have a ferritin of 40,000 ng/ml. Rheumatology was consulted for question of Adult-Onset Still’s Disease. Which of the following is the most common cause of elevated ferritin in the hospital setting? #medstudent #rheumatology #boards #studying
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