Internal medicine Multiple choice questions for PG entrance examinations FCPS, MRCP, USMLE, PLAB (MCQ of the day: Your daily dose of practice mcqs)
MCQ of the day: Your daily dose of practice mcqs A 70-year-old man presents to the emergency department with a 3-day history of right temporal headache, fever, and profound malaise. He appears acutely ill. His temperature is 39.5 C (103.1 F), blood pressure is 130/80 mm Hg, pulse is 98/min, and respirations are 24/min. Tenderness over the right temporal region is appreciated on palpation. The right temporal artery is tender and slightly nodular. Neurologic examination is normal, including funduscopic examination. However, visual acuity is reduced. Laboratory studies show: Hematocrit 39.0% Hemoglobin 10.9 g/dL Leukocytes 8800/µL (neutrophils 68%) Erythrocyte sedimentation rate 80 mm/hr Which of the following is the most appropriate next step in management? a)Measurement of intraocular pressure b)Visual field assessment c)Low-dose (10 mg/day) prednisone treatment d)High-dose (60 mg/day) prednisone treatment e) Temporal artery biopsy Explanation: The correct a...