A 60-year-old with long-standing hypertension and hyperlipidemia presents with acute unilateral vision loss and jaw claudication. ESR 85 mm/hr. Next s...

Question

A 60-year-old with long-standing hypertension and hyperlipidemia presents with acute unilateral vision loss and jaw claudication. ESR 85 mm/hr. Next step?

Accepted Answer

Start high-dose prednisone immediately and arrange temporal artery biopsy

Answer

Wait for biopsy before steroids

Answer

Start low-dose aspirin only

Answer

Order carotid ultrasound first

Answer

Start antibiotics

us-abim MCQ (SBA): Giant Cell Arteritis

A 60-year-old with long-standing hypertension and hyperlipidemia presents with acute unilateral vision loss and jaw claudication. ESR 85 mm/hr. Next step?