A 45-year-old woman presents with new-onset unilateral headache, jaw claudication, and visual disturbance. ESR and CRP are markedly elevated. Accordin...

Question

A 45-year-old woman presents with new-onset unilateral headache, jaw claudication, and visual disturbance. ESR and CRP are markedly elevated. According to standard management of suspected giant cell arteritis, what is the most appropriate immediate management?

Accepted Answer

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

Answer

Await temporal artery biopsy before treating

Answer

Prescribe NSAIDs only and review in one week

Answer

Order MRI of the brain and delay steroids

Answer

Reassure that this is likely migraine

ca-mccqe1 MCQ (SBA): Giant cell arteritis

A 45-year-old woman presents with new-onset unilateral headache, jaw claudication, and visual disturbance. ESR and CRP are markedly elevated. According to standard management of suspected giant cell arteritis, what is the most appropriate immediate management?