]> 2026-07-31T07:28:17+00:00 WBR0184 0 en Stop statins Measure ESR Start prednisone Start NSAIDS Perform muscle biopsy '''Incorrect''' - Muscle biopsy is performed when symptoms persist even after starting appropriate treatment. Primary Care Office Mugilan Poongkunran A 72 year old female comes to office with complaints of diffuse aches and pain. These are more pronounced around her shoulder and pelvic girdle muscles. She denies any headache, fever, rash, arthralgia, visual symptoms and difficulty in swallowing. She has hypertension, osteoporosis and hypercholestrolemia. Her medications include simvstatin, enalapril, hydrochlorthiazide and alendronate. She is a non-smoker and non-alcoholic. Her vitals are BP: 120/80 mmHg, pulse: 72/min, temperature: 98F and respirations 14/min. On physical examinations there is tenderness in the pelvic girdle muscles. Rest of the examination is normal. Routine labs are normal except for elevated CPK levels. What is the best next step in her line of management? B Musculoskeletal/Rheumatology 2020-10-27T23:37:49Z 2459150.4845949 WBR0184