Question

A 20-year-old female presents with a 3-month history of widespread musculoskeletal pain, fatigue, and unrefreshing sleep. She describes multiple tender points on examination. Her blood tests including FBC, U&Es, LFTs, TFTs, CRP, ESR, and CK are all normal. What is the most likely diagnosis?

Accepted Answer

Fibromyalgia

Answer

Polymyalgia rheumatica

Answer

Early rheumatoid arthritis

Answer

Chronic fatigue syndrome (ME/CFS)

Answer

Hypochondriasis

Practice question

A 20-year-old female presents with a 3-month history of widespread musculoskeletal pain, fatigue, and unrefreshing sleep. She describes multiple tender points on examination. Her blood tests including FBC, U&Es, LFTs, TFTs, CRP, ESR, and CK are all normal. What is the most likely diagnosis?