A 35-year-old man with ankylosing spondylitis (AS) presents with increased lower back pain and morning stiffness lasting more than one hour. | Medibuddy
Login Sign up
Close
Undergraduate Year 1 Undergraduate Year 2 Exams MLA ST1 / CT / ACCS Interviews ST3 Interviews ST4 Interviews Crash Courses Professional Development
5th May 2024

A 35-year-old man with ankylosing spondylitis (AS) presents with increased lower back pain and morning stiffness lasting more than one hour.

A 35-year-old man with ankylosing spondylitis (AS) presents with increased lower back pain and morning stiffness lasting more than one hour. He has been on continuous high-dose naproxen for three months without adequate relief of symptoms. He has no history of uveitis or inflammatory bowel disease and no contraindications to biological therapy.

Which is the most appropriate next step in management?

Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)

Written by Medibuddy. Last updated: October 2026. Clinical Genetics is

Clinical Genetics ST3

Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)

Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru

Clinical Radiology ST3

Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)

Written by Medibuddy. Last updated: October 2026. If you’re planning

Paediatric Surgery ST3
Mobile app screenshots

Take your subscriptions with you

Our mobile app allows you to access your interview and exam question banks wherever you are.