Rheumatology MCQ for NEET PG & FMGE

A 65-year-old woman presents with intermittent pain in the small joints of both hands for 2 years, without swelling, accompanied by morning stiffness lasting about 20 minutes. No other joints are involved. Laboratory tests (urinalysis, RBC, ESR) are normal, and rheumatoid factor (RF) is negative. The most likely physical finding in this patient is:

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