A 46-year-old woman has a 3-month history of morning stiffness >1 hour, symmetrical swelling of MCP and PIP joints and positive anti-CCP antibodies. What is the most appropriate management?AStart NSAIDs alone and observe for a yearBRefer promptly for initiation of disease-modifying antirheumatic drug therapyCReassure that symptoms will resolve spontaneouslyDTreat with long-term systemic steroids onlyEDelay referral until erosions are seen on X-rayCheck my answer