A 57-year-old m an recently diagnosed w ith m ild rheum atoid arthritis com plained to his physician

A 57-year-old m an recently diagnosed w ith
m ild rheum atoid arthritis com plained to his physician of joint pain despite
ongoing therapy w ith ibuprofen. The m an was a heavy sm oker and had a history
of chronic bronchitis w ith frequent acute exacerbations usually treated w ith
antibiotics. The physician decided to add a disease-m odifying antirheum atic
drug (DMARD) to the treatm ent. Which of the follow ing drugs would be m ost
appropriate for the patient at this tim e?

A. Le
unom ide

B. Hydroxychloroquine

C.

A 57-year-old m an recently diagnosed w ith
m ild rheum atoid arthritis com plained to his physician of joint pain despite
ongoing therapy w ith ibuprofen. The m an was a heavy sm oker and had a history
of chronic bronchitis w ith frequent acute exacerbations usually treated w ith
antibiotics. The physician decided to add a disease-m odifying antirheum atic
drug (DMARD) to the treatm ent. Which of the follow ing drugs would be m ost
appropriate for the patient at this tim e?

A. Le
unom ide

B. Hydroxychloroquine

C. Rituxim
ab

D. Etanercept

E. Azathioprine

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