A 65-year-old woman presents with a 6-week history of headache, jaw claudication, and tenderness over her left temporal artery. Her ESR is 85 mm/hr. W...

Question

A 65-year-old woman presents with a 6-week history of headache, jaw claudication, and tenderness over her left temporal artery. Her ESR is 85 mm/hr. What is the most appropriate immediate management?

Accepted Answer

Start high-dose oral prednisolone (e.g., 60mg OD) immediately

Answer

Await temporal artery biopsy results before starting treatment

Answer

Start low-dose oral prednisolone (15mg OD) and refer to rheumatology

Answer

Start methotrexate and arrange temporal artery biopsy

Answer

Start IV methylprednisolone and admit for observation

ukmla MCQ (SBA): Giant Cell Arteritis (GCA)

A 65-year-old woman presents with a 6-week history of headache, jaw claudication, and tenderness over her left temporal artery. Her ESR is 85 mm/hr. What is the most appropriate immediate management?