INSTRUCTIONS Optimizing fibromyalgia management
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- You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
- Registration deadline is April 30, 2014.
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Optimizing fibromyalgia management
General Purpose: To increase the NP's ability to effectively recognize and manage patients with FM. Learning Objectives: After reading this article and taking this test, the NP should be able to: 1. Describe the demographics and clinical aspects of FM. 2. Discuss currently accepted treatment protocols for FM.
- At what age is a patient most likely to present with FM?
- 33 years
- 45 years
- 57 years
- 61 years
- FM treatment may be delayed because
- the symptoms are mistaken for other diseases.
- there are no definitive diagnostic criteria available.
- FM is misconstrued as psychosomatic.
- practitioners are not familiar with the disease.
- A genetic correlation with a first-degree relative increases the risk of developing FM
- 6 fold.
- 8 fold.
- 10 fold.
- 12 fold.
- The biological basis for most symptoms of FM is associated with sensory processing that is
- Altered pain sensitivity in FM is related to glutamate, which is a/an
- passive neurotransmitter.
- active neurotransmitter.
- excitatory neurotransmitter.
- nociceptive neurotransmitter.
- Biomarkers for FM in cerebrospinal fluid are not useful in clinical practice because they
- are difficult to measure.
- can be misleading.
- relate to many conditions other than FM.
- do not alter treatment decisions.
- The chief complaint of FM patients is body pain originating from the
- ligaments and tendons.
- muscles and joints.
- The phenomenon of “Fibro Fog” consists of all of the following symptoms except
- concentration difficulties.
- decreased mental alertness.
- long-term memory loss.
- All of the following comorbidities are common with FM except
- temporomandibular disorders.
- urine retention.
- mood disorders.
- irritable bowel syndrome.
- Which of the following pharmacologic agents is FDA-approved for FM?
- Which of the following drugs for chronic pain is not specifically approved for FM?
- In addition to depression and anxiety, antidepressants are used in FM to treat
- restless legs syndrome.
- memory loss.
- Nonpharmacologic management of FM is mainly comprised of exercise and
- restorative sleep.
- cognitive behavioral strategies.
- Critical components of structured exercise include aerobic, strength, flexibility, and
- balance training.
- body movement away from the midline.
- pivotal movements.
- Patients with FM can be advised to avoid holding the arms overhead to decrease
- muscle microtrauma.
- loss of balance.
- To maximize use of the large muscles of the hips and thighs, the patient should gradually increase
- knee bends.
- straight leg lifts.
- heel raises.
- standing time.
- Which of the following statements is correct?
- Acupuncture is not a useful treatment option for FM.
- Patients with FM may be deficient in nutrients needed for neurologic function.
- Research studies found that Tai Chi does not improve symptom management in FM.
- Approximately 75% of women with FM take herbal supplements.
- Which food additive has been linked to FM symptoms?
- guar gum
- food coloring
- monosodium glutamate
- linoleic acid