3-year Seropositive Rheumatoid Arthritis in Medicine / Internal Medicine — 35yo Man | Rheumatology | SMLE Q#12171

SMLE Question #12171

Medicine / Internal Medicine Rheumatology

Objective: OBJ-383

Last updated: February 2026
A 35-year-old man with a 3-year history of seropositive rheumatoid arthritis attends routine follow-up. Symptoms are well controlled on prednisone 15 mg daily and hydroxychloroquine 400 mg daily, with no joint pain, swelling, or morning stiffness. Examination shows no synovitis. He asks whether his medications should be changed because he feels well. What is the most appropriate management?

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