for patients with RA, what statements are true regarding recommendations for vaccines.

for patients with RA, what statements are true regarding recommendations for vaccines. Check all that apply

• even though the CDC recommends that the liver zoster vaccine be given to patients 60 years, the American College of rheumatology recommends that this vaccine be given to RA patients years who will be taking a biologic therapy
• the immune response to some tail vaccines might be reduced when patients are taking methotrexate
• RA patients who received the live zoster vaccine may began biologic therapy one week after receiving the vaccine
• it is recommended to administer live herpes zoster vaccine to patients with RA already on biologic therapy
• It is probable that vaccinations be administered before our patients began DMARD or biologic therapies

A 50-year-old man presents to your office with highly active RA and NYHA class IV congestive heart failure. Which therapy would you want to avoid

• DMARD combination therapy
• non-anti-TNF biologic
• tofacitnib
• anti-TNF biologic

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