Fibromyalgia: The Daily PANCE Blueprint
Which of the following is the most common cause of generalized musculoskeletal pain in young adult females?
A. Multiple sclerosis
B. Rheumatoid arthritis
C. Polymyalgia rheumatica
D. Menstruation
E. Fibromyalgia
Answer and topic summary
The answer is E. Fibromyalgia
Fibromyalgia is the most common cause of generalized muscle/bone pain in young adult females. Patients with fibromyalgia also usually have fatigue, cognitive fog, sleep disturbances, morning stiffness, headaches, paresthesias, and depression. On a physical exam, you will see tenderness to palpation at multiple sites. Initial treatment includes patient education, aerobic exercise, management of concurrent issues (e.g., sleep and psychiatric), & tricyclic antidepressants (e.g., amitriptyline 10 mg).
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Musculoskeletal ⇒ ⇒
Also covered as part of the Internal Medicine EOR and Family Medicine EOR topic list
