Fibromyalgia

Question 0

Most common presenting complaint of a patient with fibromyalgia

Answer 0

“Pain all over”

above and below the waist on both sides of the body, involving the axial skeleton

Question 1

Common associated neuropsychiatric symptoms in fibromyalgia

Answer 1

Fatigue, unrefreshing sleep, cognitive dysfunction, anxiety, depression

Question 2

Pain should have been present most of the day on most days for at least this duration for a diagnosis of fibromyalgia

Answer 2

3 months

Question 3

Appropriate pressure applied during tender point examination for fibromyalgia

Answer 3

4 kg/m2 or the pressure leading to blanching of the tip of the thumbnail

Question 4

Drugs that may cause symptoms similar to fibromyalgia

Answer 4

Statins

Aromatase inhibitors

Question 5

This class of drugs should be avoided in patients with fibromyalgia as they have no demonstrated efficacy and may induce hyperalgesia

Answer 5

Opioids

Question 6

First choice agents for fibromyalgia associated with fatigue, anxiety, or depression

Answer 6

Duloxetine or milnacipran