Ophthalmology/Eye Institute

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 Department of Ophthalmology Case Studies


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1. What would NOT be part of the work-up when you suspect a patient with temporal arteritis?

a. ESR
b. Temporal artery biopsy
c. C-Reactive-Protein (CRP)
d. HbA1C

2. What would be the correct management of a person who presents with acute vision loss for 24 hours in one eye and suspected GCA?

a. The vision is gone in the affected eye. There is nothing more to do.
b. Start steroid medications immediately – either IV or oral – after confirming an elevated ESR to prevent vision loss in the contralateral eye.
c. Arrange for a temporal artery biopsy in the next 24-48 hours. If positive, start steroids – either IV or oral
d. Draw labs to check for ESR, CRP, and platelets. Bring the patient back to clinic within one week and if results are positive, start steroids – either IV or oral

3. Which is not a common symptom of Giant cell arteritis?

a. Acute vision loss or amaurosis fugax
b. Jaw claudication
c. Fatigue
d. Headache
e. Weight Gain

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