]> 2026-07-31T07:28:18+00:00 WBR0182 0 en Increase the dose of medication '''Incorrect''' : First step is to rule out secondary causes before adjusting the dose in cases who have worsening symptoms while on treatment. Reassure and observe Add nitroglycerine Order ANA and RF Order arterial doppler ultrasonography Primary Care Office Mugilan Poongkunran A 30 year old female a known case of Raynaud’s phenomenon returns to your office and says that treatment is not helping her symptoms and she is experiencing joint pains. She says that she has been compliant with medications and also have avoided exposure to cold. She does not smoke or consume alcohol now and even her husband has given up smoking. Physical examinations are well within normal limits. Which of the following is the best next step in her line of management? D Musculoskeletal/Rheumatology 2020-10-27T23:37:23Z 2459150.484294 WBR0182