A 45-year-old woman with newly diagnosed rheumatoid arthritis presents with persistent swollen painful small joints of the hands for 3 months. She has not yet seen a specialist. Which is the most appropriate next step according to NICE guidance?AStart long-term NSAIDs alone in primary care and review in 6 monthsBRefer urgently to rheumatology for assessment and disease-modifying therapyCOrder serial rheumatoid factor tests and delay referralDTreat with intermittent oral steroids onlyEAdvise that symptoms will likely settle without treatmentCheck my answer