16th September 2020

A 34-year-old male attends the GP clinic to discuss increasing pain in the joints of his hands

A 34-year-old male attends the GP clinic to discuss increasing pain in the joints of his hands. He attended the practice 4 weeks ago regarding this matter, since then he has been on ibuprofen but feels as though the pain is getting worse. On examination, you find swelling of his fingers (dactilitis) in both hands. What are the appropriate initial investigations?

Which THREE of the following are correct? Select THREE options only.