2 Weeks in Medicine / Internal Medicine — 24yo Woman | Rheumatology | SMLE Q#11318
SMLE Question #11318
Medicine / Internal Medicine
Rheumatology
Objective: OBJ-383
Last updated: February 2026
A 24-year-old woman has 3 months of symmetric pain and swelling in the hands and knees, a photosensitive malar rash sparing the nasolabial folds, and recurrent painless oral ulcers. For 2 weeks, she has developed bilateral leg swelling and frothy urine. Findings suggest active lupus nephritis. Which initial immunosuppressive regimen is most appropriate to treat her renal involvement?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.