A 45-year-old woman presents with 6 months of morning stiffness lasting over an hour, symmetrical pain and swelling of the small joints of the hands and feet, and raised inflammatory markers. What is the most appropriate next step in management?AStart long-term NSAIDs only and review annuallyBRefer urgently to rheumatology for consideration of early DMARD therapyCReassure and advise simple analgesiaDPrescribe long-term high-dose oral steroids in primary careEArrange hand X-rays only and wait for results before referralCheck my answer