ukmla MCQ (SBA): Polymyalgia Rheumatica (PMR)

A 72-year-old woman presents with a 4-week history of stiffness and pain in her shoulders and pelvic girdle, worse in the mornings and lasting over an hour. She reports fatigue and low-grade fever. Blood tests show ESR 65 mm/hr and CRP 40 mg/L. Rheumatoid factor is negative. She denies headache or visual symptoms. What is the most appropriate initial management?