Question

A 32-year-old woman presents with a 6-month history of widespread musculoskeletal pain, unrefreshing sleep and fatigue. Physical examination shows multiple tender points but no synovitis. Laboratory tests including CBC, ESR, CRP and TSH are normal. What is the most likely diagnosis?

Accepted Answer

Fibromyalgia.

Answer

Rheumatoid arthritis.

Answer

Systemic lupus erythematosus.

Answer

Polymyalgia rheumatica.

Answer

Osteoarthritis.

Practice question

A 32-year-old woman presents with a 6-month history of widespread musculoskeletal pain, unrefreshing sleep and fatigue. Physical examination shows multiple tender points but no synovitis. Laboratory tests including CBC, ESR, CRP and TSH are normal. What is the most likely diagnosis?