A 34-year-old woman fell ill 3 months ago after cold exposure. She complained of pain in her hand and knee joints, morning stiffness and fever up to 38°C. Interphalangeal, metacarpophalangeal and knee joints are swollen, hot, with reduced ranges of motions; ESR of 45 mm/h, CRP (+++), Vaaler-Rouse test of 1:128. What group of medicines would you recommend the patient?

Answer options

1. Tetracyclines
2. Fluorchinolones
3. Cephalosporines
4. Sulfonamides
5. Nonsteroidal anti-inflammatory drugs

Explanation

A 34 year old woman fell ill 3 months ago after cold exposure. She complained of pain in her hand and knee joints, morning stiffness and fever up to 38oC. Interphalangeal, metacarpophalangeal and knee joints are swollen, hot, with reduced ranges of motions; ESR of 45mm/h, CRP (+++), Vaaler-Rouse test of 1:128.What group of medicines would you recommend the patient?The first line of the drug to management, in this case, is Nonsteroidal anti-inflammatory drugs.