Pharmacology · single question

A patient with rheumatoid arthritis taking methotrexate is at increased risk for which complication related to this medication?

  1. Infection
  2. Excessive blood clotting
  3. Hyperthyroidism
  4. Hypertension as a primary direct effect
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Correct answer: A. Infection

Methotrexate's immunosuppressive properties (used therapeutically to control autoimmune inflammation in rheumatoid arthritis) increase a patient's susceptibility to infection — an important consideration for dental treatment planning, particularly before invasive procedures, alongside methotrexate's other recognized toxicities (oral ulceration, hepatotoxicity, and renal-clearance-dependent toxicity risk).

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