Diagnosis of CFS/SEID, Fibromyalgia

Question 1

Which of the following is a key component of the mind-body connection in fibromyalgia and SEID?
A) Overproduction of adrenaline
B) Central sensitization
C) Increased white blood cell count
D) Reduced cortisol levels

Answer 1

Answer:
B) Central sensitization
Rationale:

A) Incorrect: Overproduction of adrenaline is not directly linked to the mind-body connection in fibromyalgia/SEID.
B) Correct: Central sensitization refers to the heightened sensitivity of the central nervous system, a critical factor in altered pain processing for fibromyalgia/SEID.
C) Incorrect: Increased white blood cell count is typically associated with infections, not fibromyalgia or SEID.
D) Incorrect: Cortisol levels may vary in stress-related conditions but are not a defining aspect of the mind-body connection in fibromyalgia/SEID.

Question 2

Which of the following strategies is most effective for managing pain in fibromyalgia/SEID?
A) Pacing techniques
B) High-intensity interval training
C) Intermittent fasting
D) Strict bed rest

Answer 2

Answer:
A) Pacing techniques
Rationale:

A) Correct: Pacing techniques involve balancing activity and rest to prevent symptom exacerbation and are highly recommended for managing fibromyalgia/SEID.
B) Incorrect: High-intensity interval training is not suitable for most fibromyalgia/SEID patients due to the risk of overexertion.
C) Incorrect: Intermittent fasting has no evidence supporting its efficacy in managing fibromyalgia/SEID symptoms.
D) Incorrect: Strict bed rest can lead to deconditioning and worsening of symptoms over time.

Question 3

Which assessment tool is used to evaluate symptoms specific to SEID?
A) Beck Depression Inventory
B) DePaul Symptom Questionnaire
C) Fibromyalgia Impact Questionnaire Revised (FIQR)
D) Mini-Mental State Examination

Answer 3

Answer:
B) DePaul Symptom Questionnaire
Rationale:

A) Incorrect: The Beck Depression Inventory assesses depression, not SEID-specific symptoms.
B) Correct: The DePaul Symptom Questionnaire is specifically designed to evaluate SEID symptoms comprehensively.
C) Incorrect: FIQR is used for assessing fibromyalgia, not SEID.
D) Incorrect: The Mini-Mental State Examination assesses cognitive function and is unrelated to SEID symptom evaluation.

Question 4

What are the mechanisms by which mindfulness-based interventions benefit patients with fibromyalgia/SEID?
A) Enhancing muscle flexibility
B) Boosting immune function
C) Attention regulation and emotional regulation
D) Increasing aerobic capacity

Answer 4

Answer:
C) Attention regulation and emotional regulation
Rationale:

A) Incorrect: Mindfulness does not directly enhance muscle flexibility; this is addressed through movement practices.
B) Incorrect: While mindfulness may indirectly benefit the immune system by reducing stress, this is not a primary mechanism.
C) Correct: Mindfulness-based interventions improve attention regulation, body awareness, emotional regulation, and perspective on self, contributing to better management of fibromyalgia/SEID symptoms.
D) Incorrect: Aerobic capacity improvement is not a mechanism of mindfulness; it is related to physical exercise.