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MediumRheumatologyRheumatoid Arthritisukmlamrcgp aktpanemrcem sbamrcp part 1prescribing safety assessment

A 50-year-old woman presents with a 6-month history of bilateral hand pain and stiffness, particularly worse in the mornings for over an hour. She finds tasks like opening jars difficult. On examination, there is symmetrical swelling and tenderness of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. What is the most likely diagnosis?

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