A 35-year-old man attends clinic with long-standing rheumatoid arthritis. He is on Methotrexate and Hydroxychloroquine. His CRP and DAS28 scores indicate active disease despite adherence. What is the most appropriate next step in management?AIncrease Methotrexate dose above recommended maximumBAdd a biological DMARD in consultation with rheumatologyCStart long-term high-dose oral Prednisolone aloneDStop Methotrexate and use NSAIDs onlyESwitch Hydroxychloroquine to ParacetamolCheck my answer