This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: C.V.S, Subject name: Medicine
Triple therapy in Rheumatoid Ahritis involves all except 
Select and explain. 
A. Methotrexate, B. Hydroxychloroquine, C. Steroids, D. Sulphasalazine
C: Steroids
Answer: C: Steroids 
Explanation: Methotrexate is the DMARD of the first choice for initial treatment of moderate to severe RA. Failure to achieve adequate improvement with methotrexate therapy calls for a change in DMARD therapy, usually transition to an effective combination regimen. Effective combinations include methotrexate, sulfasalazine, and hydroxychloroquine (oral triple therapy); methotrexate and leflunomide; and methotrexate plus a biological.Reference: Harrison&;s Principles of Internal Medicine; 19th edition; Chapter 380; Rheumatoid ahritis