Q:

A 78 year old woman presents with unilateral headache and pain on chewing. ESR 70mm/hr. She is on oral steroids. What is the appropriate additional treatment?

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A 78 year old woman presents with unilateral headache and pain on chewing. ESR 70mm/hr. She is on oral steroids. What is the appropriate additional treatment?


  1. Bisphosphonates
  2. HRT
  3. ACEi
  4. IFN
  5. IV steroids

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The key is A. Bisphosphonates. [The elderly lady with giant cell arteritis is getting high dose steroid which can lead to demineralization and osteopenia or osteoporosis. So to prevent this bisphosphonates are given].

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