A 60-year-old man with long-standing rheumatoid arthritis has painful, swollen MCP and PIP joints bilaterally and prolonged morning stiffness. He is currently on NSAIDs only. What is the most appropriate next step in disease-modifying therapy?AStart Methotrexate as a first-line disease-modifying antirheumatic drugBStart long-term high-dose Prednisolone aloneCUse NSAIDs only and review in 6 monthsDStart AllopurinolEStart Colchicine as first-lineCheck my answer