a 50-year-old female presents to your office with moderately active RA and persistent joint pain despite being on eight months of methotrexate 20 mg...

a 50-year-old female presents to your office with moderately active RA and persistent joint pain despite being on eight months of methotrexate 20 mg per week with folic acid. If no unfavorable prognostic factors are evident, what would you recommend.

• switching to another DMARD
• add a second DMARD
• adding glucocorticoid
• switch to a biologic monotherapy

a patient who has low and MCV, increase transparent levels, and a ferritin level of less than 20 ug/L is likely to have which condition

• iron deficiency anemia
• myelodysplasia
• thalassemia
• anemia of chronic disease

when evaluating the RBC indices of a patient with iron deficiency anemia, you expect which of the following findings

• an elevated reticulocyte count
• a low and MHC
• spherocytosis
• MCV of 75 fL