4 board-style questions on fibromyalgia in the PulseMD family medicine question bank — physician-reviewed, 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 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. What is the most likely diagnosis?
A 50-year-old woman with fibromyalgia diagnosed 6 months ago has been taking duloxetine 60 mg daily and participating in a regular aerobic exercise program. While her mood has improved, she continues to report significant pain rated 7 out of 10, severe sleep disturbance, and debilitating morning stiffness. She previously tried pregabalin but discontinued it due to intolerable weight gain and excessive daytime sedation. Her physician considers adding a medication to specifically address her residual pain and sleep disturbance. Which of the following is the most appropriate addition?
Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.
PulseMD is an independent educational resource and is not affiliated with, endorsed by, sponsored by, or approved by the American Board of Family Medicine.