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A 33-Year-Old Female Reports General Malaise, Fatigue, Stiffness, and Pain

Question 3

Multiple Choice

A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple joints of the body. There is no history of systemic disease and no history of trauma. On physical examination, the patient has no swelling or decreased range of motion in any of the joints. She indicates specific points on the neck and shoulders that are particularly affected. She complains of tenderness on palpation of the neck, both shoulders, hips, and medial regions of the knees. The clinician should include the following disorder in the list of potential diagnoses:


A) Osteoarthritis
B) Rheumatoid arthritis
C) Fibromyalgia
D) Polymyalgia rheumatica

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