ABP Pediatric Rheumatology Practice Questions - ABP Pediatric Rheumatology Subspecialty Certifying Examination Exam

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A 14-year-old girl with polyarticular RF-positive and anti-CCP-positive JIA has symmetric MCP and PIP involvement with erosions on hand radiographs. Which statement best describes her prognosis and management?

Clinically resembles adult rheumatoid arthritis; early MTX plus TNF inhibitor is recommended Typically self-limited; NSAIDs alone sufficient Most likely to develop chronic anterior uveitis — q3-month slit lamp required Colchicine is first-line therapy given amyloid risk

Correct Answer:

Clinically resembles adult rheumatoid arthritis; early MTX plus TNF inhibitor is recommended

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