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conditions is most associated with the geriatric population?
1. Osteoarthritis
2. Degenerative arthritis
3. Rheumatoid arthritis
4. Polymyalgia rheumatica
5. Polymyositis
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A 67-year-old woman is evaluated for a 6-week history of stiffness and pain, particularly around the shoulders and hips. She is unsure whether there are any exacerbating or alleviating factors or whether her pain worsens during certain times of the day but believes that it is worse in the morning. She does not have visual problems, scalp tenderness, temporal area pain, jaw claudication, or wrist or finger joint swelling.
On physical examination, she is afebrile. There are no rashes, and peripheral pulses are symmetrical and normal. There is no evidence of synovitis. On musculoskeletal examination, there is tenderness to palpation, particularly around the proximal upper and lower extremities, but muscle strength is normal. The remainder of the examination is unremarkable.
On laboratory studies, hemoglobin is 11 g/dL (110 g/L) and erythrocyte sedimentation rate is 82 mm/h.
Which of the following is the most appropriate treatment for this patient?
A Prednisolone, 15 mg/d
B Prednisolone, 1 mg/kg/d
C Methotrexate, 10 mg weekly
D Etanercept, 25 mg subcutaneously
E Hydroxychloroquine, 400 mg/d
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AAA
aim for 10 to 20 mg/day for PMR
for GCA start with a higher dose
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A.............................is ans