5 board-style questions on chronic pain in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 42-year-old woman presents with widespread body pain for the past 6 months. She reports pain in her neck, shoulders, upper and lower back, and both legs. She also describes chronic fatigue, unrefreshing sleep, and difficulty concentrating ("brain fog"). She has seen multiple specialists without a diagnosis. Physical examination reveals diffuse tenderness to palpation but no joint swelling, deformity, or warmth. Her labs including CBC, CMP, ESR, CRP, TSH, and ANA are all normal. X-rays of affected areas are unremarkable. According to the 2016 modified ACR criteria, what is the most likely diagnosis?
A 42-year-old woman presents with a 9-month history of widespread body pain, fatigue, and difficulty concentrating that she describes as "brain fog." She reports unrefreshing sleep despite sleeping 8-9 hours per night. Pain is present in all four body quadrants and along the axial skeleton. Physical examination reveals diffuse tenderness to palpation but no joint swelling, erythema, deformity, or synovitis. Laboratory studies including CBC, comprehensive metabolic panel, TSH, ESR, and CRP are all within normal limits.
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