Question

A 62-year-old woman with new-onset unilateral temporal headache, scalp tenderness, jaw claudication, and ESR 84 mm/hr. Vision normal. Best immediate step?

Accepted Answer

Start high-dose oral prednisolone and arrange temporal artery biopsy

Answer

Wait for biopsy before treatment

Answer

Start low-dose aspirin only

Answer

Order CT head and wait for results

Answer

Start methotrexate immediately

Practice question

A 62-year-old woman with new-onset unilateral temporal headache, scalp tenderness, jaw claudication, and ESR 84 mm/hr. Vision normal. Best immediate step?