Key reminders for RA exams:
- Methotrexate is first-line cDMARD; weekly dosing + folic acid.
- Anti-CCP is more specific than RF and predicts erosive disease.
- Screen for TB, HBV/HCV before anti-TNF or other biologics.
- Hydroxychloroquine needs periodic ophthalmic screening.
- Always think of atlantoaxial subluxation before RA intubation.