A 45-year-old woman has symmetric inflammatory polyarthritis of the hands for 4 months, with elevated CRP and positive anti-CCP antibodies. X-rays show early erosions. What is the most appropriate next step in management?AStart non-steroidal anti-inflammatory drugs only and observeBStart low-dose prednisone indefinitelyCRefer to rheumatology and start methotrexate as a disease-modifying antirheumatic drugDDelay DMARDs until radiographic damage is more advancedETreat with opioids for pain control onlyCheck my answer