If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF: 156

A 68 year old female has had been diagnosed with polymyalgia rheumatica. She has been well maintained on Prednisolone 10 mgs per day but when she attends clinic you note that she looks Cushingoid.

In this patient your next step would be:

a)     Stop prednisolone

b)     Add cyclophosphamide

c)     Add azathioprine

d)     Change to dexamethasone

e)     Change to ACTH

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