Question

A 74-year-old woman presents with new-onset temporal headache, scalp tenderness and jaw claudication. ESR is 82 mm/hr. Visual acuity is reduced in the left eye. What is the most appropriate immediate management?

Accepted Answer

Start high-dose oral prednisolone and arrange urgent ophthalmology assessment

Answer

Await temporal artery biopsy before treatment

Answer

Start low-dose aspirin only

Answer

Start NSAIDs and refer routine

Answer

Start methotrexate as first-line

Practice question

A 74-year-old woman presents with new-onset temporal headache, scalp tenderness and jaw claudication. ESR is 82 mm/hr. Visual acuity is reduced in the left eye. What is the most appropriate immediate management?