The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

203

A 78 years old female complains of sudden onset headache with scalp tenderness, blurred vision in her right eye and jaw pain on eating. On examination, it was noted that she had scalp tenderness and right eye diplopia. She also had an ESR level of 100mm/hr. She was referred to the rheumatologists for further investigations. A biopsy was taken and was reported as being negative. She is currently on prednisolone 60mg OD, aspirin 75mg OD, omeprazole 20mg OD and alendronic acid 70mg once a week. She reported that her headache has improved since the steroids were started. What is the most appropriate next step?

Please select one of the following:

Stop steroids completely
Reduce steroid dose by 10mg over 2 weeks and then taper accordingly
Continue with current management
Repeat biopsy
CT angiogram

Question By Dr Ley Taing Chan MBBS, BA.