30-year-old Woman in Medicine / Internal Medicine — 30yo Woman | Rheumatology | SMLE Q#11953
SMLE Question #11953
Medicine / Internal Medicine
Rheumatology
Objective: OBJ-383
Last updated: February 2026
A 30-year-old woman has 2 months of fatigue, symmetric pain and swelling of MCP, PIP, and wrists, and morning stiffness lasting about 1 hour. She reports photosensitivity and recurrent painless oral ulcers. Examination shows a malar rash sparing the nasolabial folds, shallow hard-palate ulcers, and synovitis of the hands and wrists; the rest of the examination is normal. What is the most appropriate treatment at this time?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.