Question

A 72-year-old with polymyalgia rheumatica presents with new onset headache, scalp tenderness and jaw claudication. ESR 78 mm/hr. Immediate management?

Accepted Answer

Start high-dose prednisolone 40-60 mg and urgent referral

Answer

Start low-dose prednisolone 10 mg

Answer

Wait for temporal artery biopsy before treatment

Answer

Start aspirin only

Answer

NSAIDs only

Practice question

A 72-year-old with polymyalgia rheumatica presents with new onset headache, scalp tenderness and jaw claudication. ESR 78 mm/hr. Immediate management?