A 72-year-old man presents with proximal muscle stiffness and pain in shoulders and hips. Morning stiffness lasts 90 minutes. CRP is elevated. Which i...

Question

A 72-year-old man presents with proximal muscle stiffness and pain in shoulders and hips. Morning stiffness lasts 90 minutes. CRP is elevated. Which initial therapy is recommended?

Accepted Answer

Prednisolone 15 mg daily

Answer

Prednisolone 5 mg daily

Answer

Methotrexate 15 mg weekly immediately

Answer

High-dose NSAIDs only

Answer

No treatment until rheumatology review

ukmla MCQ (SBA): Polymyalgia Rheumatica

A 72-year-old man presents with proximal muscle stiffness and pain in shoulders and hips. Morning stiffness lasts 90 minutes. CRP is elevated. Which initial therapy is recommended?