Fibromyalgia — SCE Rheumatology MCQ

Instant feedback + full explanation. One question, done properly.

EasySoft Tissue RheumatologyFibromyalgiaSCE Rheumatology

A 50-year-old woman with fibromyalgia reports widespread pain poor sleep fatigue cognitive difficulties and irritable bowel symptoms. According to EULAR 2017 fibromyalgia recommendations what is the recommended first-line management approach?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Non-pharmacological management including exercise and psychological therapies

EULAR 2017 revised fibromyalgia recommendations emphasise non-pharmacological management as first-line, including: graduated exercise (aerobic and strengthening), cognitive behavioural therapy (CBT), patient education, and sleep hygiene. Pharmacological options (Amitriptyline, Duloxetine, Pregabalin) are second-line for specific symptom domains. Opioids are strongly NOT recommended due to lack of efficacy and risk of dependence. A multimodal approach tailored to the individual patient's predominant symptoms is recommended.

Reference: EULAR 2017 - Revised recommendations for management of fibromyalgia; Macfarlane GJ et al 2017