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What Primary Care Physicians Should Know About Fibromyalgia: Connecting the Dots between Diagnosis and Pain Management

  1. Pain caused by a primary lesion or dysfunction in the nervous system is:
    Nociceptive pain
    Neuropathic pain
    Mixed pain
    Psychogenic pain
  2. Fibromyalgia involves pain processing in which brain region?
    Cortical and subcortical
    There is no evidence to suggest involvement of the brain
  3. Core symptoms of fibromyalgia include:
    Sleep disturbance
    All of the above
  4. The worldwide prevalence of fibromyalgia is:
    < 1%
    2% to 5%
    5% to 10%
    10% to 12%
  5. Which of the following is of key importance when obtaining a comprehensive history for the diagnosis of fibromyalgia?
    History of allergies
    Current medications
  6. American College of Rheumatology (ACR) criteria for fibromyalgia include:
    History of chronic widespread pain ≥ 1 month
    At least 11 of 18 tender points
    Experience pain at least 70% of the time
    Absence of metabolic conditions
  7. Treatment for fibromyalgia includes:
    Monoamine oxidase inhibitors
    All of the above
  8. FDA-approved treatments for fibromyalgia include all of the following except:
  9. The goal of treatment for fibromyalgia is:
    Primarily pharmacotherapy
    Primarily psychotherapy
    Behavior therapy
  10. In patients with moderate-to-severe pain, when is monotherapy with an SNRI not indicated?
    In patients with comorbid insomnia
    In patients with bipolar disorder
    In elderly adults
    In patients with hypertension