Question

A 60-year-old woman with polymyalgia rheumatica develops new temporal headache, jaw claudication, and visual blurring. ESR 92 mm/hr. Immediate management?

Accepted Answer

Start high-dose oral prednisolone and urgent ophthalmology

Answer

Wait for temporal artery biopsy

Answer

Start low-dose aspirin only

Answer

Start methotrexate only

Answer

Reassure and arrange routine review

Practice question

A 60-year-old woman with polymyalgia rheumatica develops new temporal headache, jaw claudication, and visual blurring. ESR 92 mm/hr. Immediate management?