Fibromyalgia — SCE Rheumatology MCQ
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Correct answer: D — Pain and associated depression
The best answer is “Pain and associated depression”. Pain and associated depression is supported by the cited UK or directly applicable specialist authority and best matches the tested threshold, complication or monitoring principle. The remaining choices—“Sleep disturbance principally, with clinical reassessment”, “Fatigue principally, after safety review”, “Morning stiffness, after specialist assessment”, “Joint inflammation, with clinical reassessment”—are credible in related rheumatology presentations, but each addresses a different diagnosis, investigation, treatment sequence or complication and does not fit the decisive findings in this stem.
Reference: NICE NG226 osteoarthritis: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations