A 68-year-old woman presents with a 3-week history of severe unilateral temporal headache, scalp tenderness, and jaw claudication. Her ESR is 95 mm/hr...

Question

A 68-year-old woman presents with a 3-week history of severe unilateral temporal headache, scalp tenderness, and jaw claudication. Her ESR is 95 mm/hr. What is the most appropriate immediate management?

Accepted Answer

Start high-dose oral Prednisolone immediately

Answer

Arrange urgent temporal artery biopsy within 24 hours

Answer

Awaiting temporal artery biopsy results before starting treatment

Answer

Start low-dose Aspirin immediately

Answer

Urgent referral to Rheumatology for DMARD initiation

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

A 68-year-old woman presents with a 3-week history of severe unilateral temporal headache, scalp tenderness, and jaw claudication. Her ESR is 95 mm/hr. What is the most appropriate immediate management?