Deck 195: Polymyalgia Rheumatica and Giant Cell Arteritis

Question 1

A patient is diagnosed with polymyalgia rheumatica (PMR) with giant cell arteritis. Which dose of prednisolone will be given initially?

A) 15 mg daily
B) 20 mg daily
C) 30 mg daily
D) 60 mg daily

Answer 1

D

Question 2

A patient who is taking prednisolone 20 mg daily to treat polymyalgia rheumatica reports blurred vision. What will the provider do?

A) Discontinue the medication
B) Increase the prednisolone dose to 60 mg daily
C) Prescribe NSAIDs to treat the inflammation
D) Refer to a rheumatologist immediately

Answer 2

D

Question 3

A 60-year-old patient reports new onset of bilateral shoulder pain with morning stiffness lasting approximately 1 hour. Which will be included in initial diagnostic testing for this patient? (Select all that apply.)

A) Antinuclear antibodies
B) Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)
C) Liver function tests (LFTs)
D) Protein electrophoresis
E) Serum calcitonin

Answer 3

B, C, D