Question 1

Which are symptoms associated with fibromyalgia? (Select all that apply.)&#10;A) Gastrointestinal complaints&#10;B) Hepatosplenomegaly&#10;C) Musculoskeletal pain&#10;D) Nonrestorative sleep&#10;E) Renal complications

Accepted Answer

Gastrointestinal complaints, musculoskeletal pain, and nonrestorative sleep are all commonly associated with fibromyalgia. Hepatosplenomegaly and renal complications are not typically associated with fibromyalgia.

Question 2

Which cause is implicated in patients with fibromyalgia syndrome (FMS)?&#10;A) Autoimmune disease&#10;B) Central nervous system dysfunction&#10;C) Muscle dysfunction&#10;D) Viral disease

Accepted Answer

Central nervous system dysfunction is the cause that is most commonly implicated in patients with fibromyalgia syndrome (FMS). While the exact cause is not fully understood, research suggests that FMS may be related to abnormal levels of certain chemicals in the brain that affect pain processing and the response to stress. There is also evidence of decreased blood flow to certain regions of the brain in individuals with FMS. Autoimmune disease and viral disease have been ruled out as the cause of FMS, and while muscle dysfunction may play a role in the symptoms experienced by FMS patients, it is not considered the primary cause.

Question 3

When counseling a patient about the long-term effects of fibromyalgia syndrome, what is important to include in teaching?&#10;A) A multidisciplinary approach to treatment is most effective.&#10;B) Eventual damage to muscles and joints will occur.&#10;C) Exercise may cause discomfort and damage to muscles.&#10;D) Medications are useful for controlling and preventing symptoms.

Accepted Answer

A multidisciplinary approach is necessary for effective management of fibromyalgia syndrome as it involves a variety of symptoms and can affect physical, emotional, and social well-being. This includes a combination of medications, physical therapy, exercise, cognitive-behavioral therapy, and alternative therapies such as acupuncture or massage. Eventual damage to muscles and joints is not a typical consequence of fibromyalgia syndrome, and exercise is actually important for improving symptoms and preventing further physical deconditioning. While medications can be helpful for managing symptoms, they are not the only or most important aspect of treatment.

Deck 157: Fibromyalgia and Myofascial Pain Syndrome