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MediumRheumatologyRheumatoid Arthritisukmlamrcgp aktpanemrcp part 1prescribing safety assessment

A 68-year-old woman presents with a 6-month history of symmetrical pain and stiffness in her hands (MCPs, PIPs) and wrists, worse in the mornings and lasting over an hour. Examination reveals swollen, tender MCP and PIP joints bilaterally with reduced grip strength. What is the most likely diagnosis?

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