Question

A 76-year-old woman with new-onset unilateral temporal headache, jaw claudication and visual blurring has ESR 86 mm/hr. What is the immediate management in primary care?

Accepted Answer

Start high-dose prednisolone (40-60 mg daily) and urgent same-day referral

Answer

Arrange urgent temporal artery ultrasound and await results

Answer

Start prednisolone 15 mg daily and refer routine

Answer

Withhold steroids until biopsy performed

Answer

Start aspirin only

Practice question

A 76-year-old woman with new-onset unilateral temporal headache, jaw claudication and visual blurring has ESR 86 mm/hr. What is the immediate management in primary care?