Rheumatoid Arthritis Takes Methotrexate in Medicine / Internal Medicine — 35yo Woman | Rheumatology | SMLE Q#16666

SMLE Question #16666

Medicine / Internal Medicine Rheumatology

Objective: OBJ-383

Last updated: February 2026
A 35-year-old woman with rheumatoid arthritis takes methotrexate 15 mg weekly with folic acid. Liver tests were normal 4 months ago. On routine monitoring, she is asymptomatic but has new marked transaminitis and low albumin. What is the most appropriate next step in management?

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