35-year-old woman comes to the clinic complaining of aching pain and stiffness over her entire body for the past 3 months. She
also has easy fatigability, poor sleep, and frequent headaches. The patient has had difficulty performing her daily tasks and feels that
her work performance as an accountant has worsened. She has used over-the-counter pain medications with no relief. On
examination, she has tenderness to gentle palpation over the muscles of her neck, shoulders, and back. Vital signs are within normal
limits. laboratory results show normal electrolytes, complete blood count, erythrocyte sedimentation rate, and thyroid function tests.
Which of the following is the best initial therapy to improve this patient’s symptoms?
- QA Exercise program with aerobic conditioning
- 0 B. High-dose prednisone
- 0 C. Hydroxychloroquine
- 0 D. Low-dose prednisone
- 0 E. Methotrexate
- 0 F Oxycodone/acetaminophen
0 voters