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Unknown Integrated QBank ac5782bd

A 80-year-old female presented with soreness in both shoulders and upper back. According to the patient, she feels tired all the time and also had near-persistent headache in last few days. The doctor manages her conservatively. 3 days later she again presented with sudden loss of vision in the left eye Ophthalmoscopic examination was done. What is next best appropriate step in the above condition: -

A
Brain MRI to evaluate for demyelinating disease or tumour
B
Initiate high dose glucocoicoid therapy and refer for temporal aery biopsy
C
Ocular massage for 2 minutes followed by repeat visual acuity testing
D
Topical beta-blocker administration
High-Yield Explanation
This is a case of anterior ischemic optic neuropathy in setting of giant cell aeritis. First temporal aery biopsy should be done and the high dose steroids should be staed after the biopsy repo comes.

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