*A 23-year-old female suffers with low back pain and morning stiffness lasting more than an hour. The pain is getting worse and is associated with fatigue. There is sensitivity to sunlight along with decreased wrist range of motion. There is ulnar deviation of her fingers.*

*Which might be more beneficial in the management of this patient?*

A. Ultrasound

B. Refer to a dermatologist

C. Refer to a rheumatologist

D. Recommend folic acid supplements

E. Avoid the sun

F. Life-long thyroid supplements

G. Refer to a neurologist

H. Chiropractic care

I. Ultraviolet light therapy