Which of the Following Is a Common Clinical Manifestation of Rheumatoid Arthritis

Ms. Reyes, a 45-year-old Female, Presents with Joint Pain, Swelling and Stiffness in Her Hands and Feet. She Also Complains of Fatigue and Weight Loss. Upon Physical Examination, the Nurse Notes Symmetrical Joint Swelling and Tenderness. the Patient Reports Morning Stiffness That Lasts for More Than an Hour. Laboratory Tests Reveal Elevated Levels of Rheumatoid Factor and Anti-cyclic Citrullinated Peptide (Anti-ccp) Antibodies