Question

A 68-year-old man with new temporal headache, jaw claudication, and ESR 82 mm/hr. Visual symptoms present. Immediate management?

Accepted Answer

Start high-dose prednisolone immediately and arrange temporal artery biopsy

Answer

Start low-dose prednisolone and wait for biopsy

Answer

Aspirin alone

Answer

Request MRI brain first

Answer

Start methotrexate immediately

Practice question

A 68-year-old man with new temporal headache, jaw claudication, and ESR 82 mm/hr. Visual symptoms present. Immediate management?