A 58-year-old woman presents with classic polymyalgia rheumatica symptoms (bilateral shoulder/hip girdle pain and stiffness). ESR is raised. Best init...

Question

A 58-year-old woman presents with classic polymyalgia rheumatica symptoms (bilateral shoulder/hip girdle pain and stiffness). ESR is raised. Best initial management?

Accepted Answer

Start oral prednisolone 15 mg daily and review

Answer

Low-dose NSAIDs only

Answer

High-dose prednisolone 60 mg

Answer

Methotrexate immediately

Answer

Physiotherapy alone

ukmla MCQ (SBA): Polymyalgia Rheumatica

A 58-year-old woman presents with classic polymyalgia rheumatica symptoms (bilateral shoulder/hip girdle pain and stiffness). ESR is raised. Best initial management?