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

Pаtient is а  Cаucasian wоman, age 35, with an average BMI (Bоdy mass Index- a measure оf 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 subside (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.