A 73-year-old woman has new unilateral temporal headache, scalp tenderness, jaw claudication, and transient blurred vision. ESR is 82 mm/h and the

Question

A 73-year-old woman has new unilateral temporal headache, scalp tenderness, jaw claudication, and transient blurred vision. ESR is 82 mm/h and the temporal artery is tender. Which of the following is the most appropriate next step in management?

Accepted Answer

Start high-dose glucocorticoids and arrange temporal artery biopsy

Answer

Treat with low-dose aspirin alone

Answer

Delay treatment until biopsy confirms disease

Answer

Start triptan therapy for migraine

Answer

Give antibiotics for sinusitis

Giant cell arteritis — USMLE Step 3 MCQ

A 73-year-old woman has new unilateral temporal headache, scalp tenderness, jaw claudication, and transient blurred vision. ESR is 82 mm/h and the temporal artery is tender. Which of the following is the most appropriate next step in management?