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MediumRheumatologyRheumatoid Arthritis Diagnosisukmlamrcp part 1panemrcgp akt

A 29-year-old woman presents with a 6-week history of gradual onset symmetrical small joint pain affecting her wrists, MCPs, and PIPs, associated with morning stiffness lasting over an hour. Examination reveals swollen, tender MCP and PIP joints bilaterally. Rheumatoid factor is positive, and anti-CCP antibodies are strongly positive. What is the most appropriate next step in management?

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