ABFM Practice Test 14

10 free ABFM practice questions in the real exam format, covering the official content areas, with an explanation for every answer.

ABFM Practice Test 14Tutor mode

Question 1 of 10

Chronic Care Management

A 52-year-old postmenopausal woman was diagnosed with rheumatoid arthritis 2 months ago. She has symmetric swelling of the MCP and PIP joints and 2 hours of morning stiffness despite naproxen 500 mg twice daily. She drinks no alcohol. Her disease activity is moderate. Pretreatment results are shown, and a chest radiograph is normal. Which one of the following is the most appropriate treatment?

Pretreatment results
TestResult
Rheumatoid factor / anti-CCP antibodiesPositive / positive
ESR42 mm/h
C-reactive protein2.8 mg/dL (<1.0)
CBCNormal
Creatinine0.8 mg/dL
ALT22 U/L
HBsAg / anti-HBc / HCV antibodyNegative / negative / negative