A Patient Has Swelling and Tenderness in the Small Joints

question 3

Multiple Choice

A patient has swelling and tenderness in the small joints of both hands and reports several weeks of malaise and fatigue. A rheumatoid factor (RF) test is negative. What will the primary care provider do next?

• A) Begin treatment with a biologic disease-modifying anti-rheumatic (DMARD) drug
• B) Order radiographic tests, a CBC, and acute-phase reactant levels
• C) Reassure the patient that the likelihood of rheumatoid arthritis is low
• D) Refer the patient to an orthopedic specialist for evaluation and treatment

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