Question

A 58-year-old with suspected giant cell arteritis has new headache, jaw claudication, and ESR 92 mm/hr. Vision is intact. What is the immediate management?

Accepted Answer

Start high-dose oral prednisone immediately and arrange biopsy within 1-2 weeks

Answer

Schedule temporal artery biopsy before treatment

Answer

Start low-dose NSAIDs only

Answer

Begin methotrexate monotherapy

Answer

Delay therapy pending PET-CT

Practice question

A 58-year-old with suspected giant cell arteritis has new headache, jaw claudication, and ESR 92 mm/hr. Vision is intact. What is the immediate management?