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Post Test and CE-registration
Diagnosing and Management of Fibromyalgia Syndrome
Speaker: Chad S. Boomershine, MD, PhD
1. Laboratory assessments recommended in evaluating fibromyalgia patients include:
a. Thyroid Stimulating Hormone (TSH)
b. 25-hydroxy-vitamin D, B12 and folate
c. Iron, % iron saturation and ferritin
d. Complete blood count and complete metabolic panel
e. All of the above
2. Each letter of the FIBRO mnemonic refers to symptoms commonly experienced by fibromyalgia patients. Which symptoms below are correctly paired with their letters in the FIBRO mnemonic?
a. . F for Fatigue and/or Fibrofog (cognitive dysfunction)
b. I for Insomnia (poor sleep quality)
c. B for Blues (depression and/or anxiety symptoms)
d. R for Rigidity (stiffness in muscles and joints)
e. O for Ow! (pain and work difficulty)
f. All of the above
3. Which of the following medications are indicated by the FDA for management of fibromyalgia?
a. Pregabalin (Lyrica)
b. Duloxetine (Cymbalta)
c. Milnacipran (Savella)
d. All of the above
4. Which non-pharmacologic therapies are recommended for management of fibromyalgia?
a. Low-impact Aerobic and Resistance exercise alternating 6 days of the week
b. Stretching every morning
c. Education on disease prognosis and management strategies
d. All of the above
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5. What medications are recommended on an as needed basis for managing “flares” of fibromyalgia pain?
a. Tramadol (Ultram)
b. Prednisone
c. Cyclobenzaprine (Flexeril)
d. Hydrocodone
e. A and C
f. All of the above
6. It is important to individualize pharmacologic therapy to target the patient’s most debilitating FIBRO symptom. Which FIBRO symptom below is correctly paired with the recommended indicated medication to treat that symptom?
a. Milnacipran (Savella) for Fatigue and/or Fibrofog (cognitive dysfunction)
b. Pregabalin (Lyrica) for Insomnia (poor sleep quality)
c. Duloxetine (Cymbalta) for Blues (depression and /or anxiety)
d. All of the above
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