Patient is a  Caucasian woman, age 35, with an average BMI (…

Patient is a  Caucasian woman, age 35, with an average BMI (Body mass Index- a measure of body fat based on height and weight). Patient reports stiffness and pain in joints upon waking up in the morning and says symptoms don’t really reside (go away) for ~ 3 hours.  She reports pain in 3 of her metacarpal-phalange joints, per hand.  Upon physical examination her muscle strength seems normal, she does not have eyelid droop or other visible weakness.  She reports feeling tired and low energy, despite getting plenty of rest, fluids and exercise. She does not/has not had any rashes.  From the symptoms and information above, select the best option below.  Which option provides the most likely diagnosis and recommends a an appropriate treatment plan.   

Part A- For EACH of these terms (from the previous question)…

Part A- For EACH of these terms (from the previous question)  clearly state what each is MADE OF, at the specific tissue(s) level, or a clear definition/description if more suitable 5 points Terms/structures:  1. Periosteum2. Articular Cartilag3. Synovial membrane4. Fibrous layer5. Synovial cavity Part B- Which of the above structure(s)/etc. contain blood vessels?  2 points Part C- Which of the above structure(s)/etc. is most directly perturbed/damaged due to osteoarthritis?  2 points