A 72-year-old woman presents to the emergency department with a 3-week history of right-sided headache, scalp tenderness when combing her hair, and jaw pain when chewing. She has also noted morning stiffness in both shoulders and hips. This morning she lost vision in her right eye for about 10 minutes, and vision has since returned. Her history includes hypertension and osteopenia, and she takes ramipril. On examination, the right temporal artery is tender and nodular with a reduced pulse. Visual acuity is normal in both eyes and the fundi appear normal. Hemoglobin 108 g/L (115-155), platelets 460 x 10^9/L (150-400), ESR 88 mm/h (0-30), CRP 112 mg/L (less than 8).
| Heart rate | 78/min |
| Respiratory rate | 16/min |
| Temperature | 37.4 °C |
| O2 saturation | 97%, room air |
| Blood pressure | 148/86 mm Hg |
Question 1 of 3
Which of the following are the most appropriate immediate management steps?
Select 2. (0 / 2 selected)
Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.