A Patient Who Has RA Has Been Taking Methotrexate for 6

question 9

Multiple Choice

A patient who has RA has been taking methotrexate for 6 months and tells the primary care NP that symptoms seem to be getting worse.The NP refers the patient back to the rheumatologist and should expect the rheumatologist to:

• A) add prednisone to the drug regimen.
• B) add adalimumab to the drug regimen.
• C) change to a combination of adalimumab and etanercept.
• D) discontinue methotrexate because 50% of patients do not respond.

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Definitions:

Hamburger, Fruit, Milk

Components often considered in dietary guides for balanced nutrition; representing sources of protein, vitamins, and calcium respectively.

Traditional Cree Foods

Foods that are part of the diet of the Cree people, indigenous to North America, often including wild game, fish, berries, and indigenous plants.

European-Canadian Diet

Dietary patterns and food preferences traditionally associated with European cultures, as adopted or modified by Canadians.

Assimilation

The process by which individuals or groups adopt the culture, practices, and perspectives of another community, often leading to homogenization or cultural blending.