A 67-year-old woman has severe unilateral temporal headache, jaw pain while chewing, and blurred vision. ESR is 92 mm/h. Temporal artery is tender.

Question

A 67-year-old woman has severe unilateral temporal headache, jaw pain while chewing, and blurred vision. ESR is 92 mm/h. Temporal artery is tender. Visual acuity is slightly reduced in the affected eye. Which of the following is the most appropriate at this time?

Accepted Answer

Start high-dose glucocorticoids immediately

Answer

Wait for temporal artery biopsy before treatment

Answer

Begin low-dose aspirin as sole therapy

Answer

Order sinus radiography

Answer

Prescribe sumatriptan

Giant cell arteritis — USMLE Step 3 MCQ

A 67-year-old woman has severe unilateral temporal headache, jaw pain while chewing, and blurred vision. ESR is 92 mm/h. Temporal artery is tender. Visual acuity is slightly reduced in the affected eye. Which of the following is the most appropriate at this time?