Question

A 63-year-old with new-onset temporal headache, scalp tenderness, jaw claudication and ESR 85 mm/hr. Vision normal. Most appropriate immediate management?

Accepted Answer

Start high-dose oral prednisolone immediately and arrange temporal artery biopsy

Answer

Start low-dose prednisolone and wait for biopsy

Answer

Start methotrexate and arrange biopsy

Answer

Wait for ultrasound confirmation before treatment

Answer

Start aspirin only

Practice question

A 63-year-old with new-onset temporal headache, scalp tenderness, jaw claudication and ESR 85 mm/hr. Vision normal. Most appropriate immediate management?