FMG - Background + Sx + Chronic Fatigue Syndrome

Question 1

Prevalence - ?-?% in all UK populations, but up to 7% in females over ?.
10:1 ? preponderance.
Diagnosis of ?
RF’s – anything ass w life ? - divorce, alcoholism in family, low income, traumatic injury

It is thought to be due to ? abnormalities and abnormal ? processing.

Answer 1

2-3
70
female
exclusion
distress
sleep
pain

Question 2

Dx criteria

• ? pain for more than ? ?
• Pain elicited by ? pressure at ? or more defined pressure points
• There should be a ? withdrawal response seen in all ? quadrants

Answer 2

widespread
3 months
digital
11
hyperalgesic
4

Question 3

Non-restorative sleep;
o Fibromyalgia sufferers have reduced ? sleep (deep non-? sleep), distinct from sleep abnormalities seen in ?.
o Deprivation of this ? sleep in normal volunteers produces the
signs and symptoms of ?.

Answer 3

delta
REM
depression
delta
FMG

Question 4

Abnormal pain processing;
o Fibromyalgia sufferers have reduced pain ? at characteristic sites throughout the body.
o This is evidenced by exaggerated skin ? ? to substances
such as ? and frequent occurrence of ?.

Answer 4

tolerance
flare reactions
capsaicin
allodynia

Question 5

Common Symptoms;

Multiple ? pain.
Marked ?.
Low ?, irritability, ?.
Poor ?, forgetfulness.
Non-? sleep.

Answer 5

regional
fatigability
affect
weepiness
concentration
restorative

Question 6

Variable locomotor symptoms;
? ? stiffness.
Subjective swelling of ? only.
? , tingling of all fingers

Answer 6

early morning
fingers
numbness

Question 7

Additional non-locomotor symptoms;

Non-throbbing bifrontal headache: ? headache.

Colicky abdominal pain, bloating, variable bowel habit: ?

Bladder fullness, nocturnal frequency: ? bladder.

Hyperacusis, dyspareunia, discomfort when touched: ?.

Common side-effects with drugs: ? sensitivity

Answer 7

tension
ibs
irritable
allodynia
chemical

Question 8

Chronic fatigue syndrome;

? fatigue made worse by ? exertion .
The fatigue is both ? and ?.
This occurs in the same group of conditions as fibromyalgia, and may indeed form part of the same ?.

Answer 8

chronic
minimal
physical 
mental
syndrome