MSK Quiz#31, Polymyalgia and Fibromyalgia

1. A 68-year-old female presents with a 2-month history of stiffness and pain in her shoulders and hips, most severe in the mornings and improving with activity. She also reports experiencing malaise and low-grade fevers. Her erythrocyte sedimentation rate (ESR) is elevated. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 45-year-old woman presents with widespread musculoskeletal pain for the past 3 months, accompanied by fatigue, sleep disturbances, and cognitive difficulties. Physical examination reveals tender points in multiple specific locations. Laboratory studies and imaging do not show any abnormalities. Which of the following is the most likely diagnosis? 

Question 2 of 5

3. A 70-year-old man diagnosed with polymyalgia rheumatica (PMR) is started on low-dose corticosteroids. Which of the following is the most important next step to assess for an associated condition? 

Question 3 of 5

4. Which of the following medications is considered first-line treatment for patients diagnosed with fibromyalgia? 

Question 4 of 5

5. A 65-year-old female with a history of polymyalgia rheumatica treated with prednisone presents with new onset of bilateral hip pain that worsens with walking. There is no evidence of infection or trauma. Her recent laboratory tests, including inflammatory markers, are within normal limits. Which of the following is the most likely cause of her symptoms? 

Question 5 of 5


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