A 35-year-old woman has months of widespread pain, poor sleep, fatigue, and difficulty concentrating. She has tenderness in the neck, shoulders,

Question

A 35-year-old woman has months of widespread pain, poor sleep, fatigue, and difficulty concentrating. She has tenderness in the neck, shoulders, hips, and back. ESR, creatine kinase, TSH, and CBC are normal. There is no synovitis or weakness. Which of the following is the most likely diagnosis?

Accepted Answer

Fibromyalgia

Answer

Inflammatory myopathy

Answer

Polymyalgia rheumatica

Answer

Systemic sclerosis

Answer

Rheumatoid arthritis

Fibromyalgia — USMLE Step 3 MCQ

A 35-year-old woman has months of widespread pain, poor sleep, fatigue, and difficulty concentrating. She has tenderness in the neck, shoulders, hips, and back. ESR, creatine kinase, TSH, and CBC are normal. There is no synovitis or weakness. Which of the following is the most likely diagnosis?