Question

A 70-year-old woman with polymyalgia rheumatica (PMR) has proximal muscle pain and stiffness in shoulders and hips, elevated ESR, but normal CK. According to NICE, what is the initial treatment of choice?

Accepted Answer

Low-dose oral corticosteroids (e.g., prednisolone)

Answer

High-dose intravenous steroids

Answer

Methotrexate monotherapy

Answer

NSAIDs only

Answer

Biologic therapy

Practice question

A 70-year-old woman with polymyalgia rheumatica (PMR) has proximal muscle pain and stiffness in shoulders and hips, elevated ESR, but normal CK. According to NICE, what is the initial treatment of choice?