A 42-year-old woman with c/o severe muscle and joint pain and joint stiffness in the morning and fatigue. There is tingling sensation in the lower limbs. She has hypertension and occasional tension headaches. Examination shows symmetric muscular tenderness at the base of the neck, over the shoulders, and in the lumbosacral area. ESR 12, TSH 3.1 μU/mL. Which of the following is the most appropriate pharmacotherapy?
Amitriptyline
Vitamin B12
Prednisone
Methotrexate
Boost your performance with adaptive practice tests
Practice every concept in the syllabus
Compare your speed and accuracy with your peers
Download the app and practice on the go