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National Center of Continuing Education

IMPORTANT: The following test is ONLY available to those who have already purchased it.

Fibromyalgia Independent Analysis
5 Contact Hours • Course #223

  1. The following Independent Analysis is for you to quiz your knowledge that you have obtained after reading the course material. This is an independent exercise.
  2. To find out if you have understood the material, click on "Submit" ONCE and please be patient while your answers are checked and your results are displayed.
  3. Your Certificate will be mailed to you First Class only when you complete and submit the required Independent Analysis Evaluation.
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Answer each of the following questions (there is only one correct answer to each question).

1
Fibromyalgia syndrome was originally referred to as:
A. Bursitis
B. Fibrosis
C. Fibrositis
D. Myofascial pain syndrome
2
The first drug approved by the FDA to reduce pain and improve function in Fibromyalgia patients is::
A. Ultram
B. Cycloflex
C. Lyrica
D.Paxil
3
Approximately what percentage of patients with fibromyalgia syndrome are women?
A. Less than 50%
B. 50% to 60%
C. 70% to 80%
D. 80% to 90%
4
What is the most common age group for fibromyalgia syndrome?
A. Infancy
B. 4 to 14 years
C. 20 to 30 years
D. 40 to 50 years
5
A study conducted by the National Fibromyalgia and Fatigue Centers concluded that 280 mg of d-Ribose improved:
A. pain intensity
B. well-being and energy
C. sleep
D. all of the above
6
What percentage of patients with fibromyalgia syndrome exhibits the characteristic features?
A. 20% to 40%
B. 40% to 60%
C. 60% to 80%
D. 80% to 100%
7
Which of the following is not a characteristic feature of fibromyalgia syndrome?
A. Fatigue
B. Musculoskeletal pain
C. Musculoskeletal stiffness
D. Non-restorative sleep
8
A condition characterized by muscular contractions resulting in jerking of one or both legs is referred to as:
A. Restless legs syndrome
B. Dysesthesia
C. Nocturnal myoclonus
D. Tetany
9
Which of the following conditions is an associated feature of fibromyalgia syndrome?
A. Chronic headaches
B. Pleurisy
C. Rheumatic heart disease
D. Hypocalcemia
10
The usual EEG pattern in stage IV sleep is characterized by:
A. High amplitude, low frequency delta waves
B. High amplitude, high frequency alpha waves
C. Low amplitude, high frequency delta waves
D. Low amplitude, low frequency alpha waves
11
Speculations concerning the pathogenesis of fibromyalgia syndrome suggest which of the following conditions?
A. Serotonin excess
B. Bipolar disorder
C. Alpha wave intrusion
D. Inflammation of soft tissues
12
A tender point may be found bilaterally in which of the following locations?
A. Inner aspect of the malleolus
B. Over the lateral epicondyle
C. Over the anterior aspect of the tibia
D. At the midpoint of the sternocleidomastoid
13
Which of the following describes the most common reason patients with fibromyalgia seek help from a physician?
A. Fatigue
B. Morning stiffness
C. Widespread musculoskeletal pain
D. Local tenderness at tender points
14
The amount of pressure to be applied when palpating tender points is:
A. 2 kilograms
B. 4 kilograms
C. 6 kilograms
D. 8 kilograms
15
It is extremely important that information obtained during the health history emphasize all of the following areas except:
A. Heart sounds
B. Activities of daily living
C. Sleep habits
D. Physical activity patterns
16
Patient education includes informing the patient that fibromyalgia syndrome is:
A. An acute condition
B. Not Life-threatening
C. Deforming
D. Treated with antidepressants
17
Sleep hygiene encompasses which of the following strategies?
A. Soft mattress
B. Day-time naps
C. Cessation of alcohol and nicotine
D. A variation of bedtime hours
18
Which of the following interventions has been shown to be effective in the management of symptoms?
A. Skeletal muscle relaxants
B. Narcotics
C. Antipsychotics
D. Antibiotics
19
The primary mode of action of tricyclic antidepressants is:
A. Facilitating re-uptake of neurotransmitters
B. Inhibiting re-uptake of neurotransmitters
C. Decreasing panic attacks
D. Promoting skeletal muscle relaxation
20
Nonimpact-loading exercises for the patient with fibromyalgia syndrome include:
A. Aquajogging
B. Basketball
C. Volleyball
D. Step aerobics
21
Which of the following statements describes the use of physical therapy in fibromyalgia syndrome?
A. Vigorous massage is indicated
B. Whirlpools and warm baths anesthetize localized areas of pain
C. It is reserved for flare-ups
D. Ice packs may decrease muscle spasm and tension
22
Which of the following statements correctly describes tender points?
A. They are found within a taut band of skeletal muscle
B. They give rise to referred pain upon palpation
C. They are associated with lacrimation
D. Their etiology is unknown
23
In attempting to establish a diagnosis of fibromyalgia syndrome, which of the following test(s) is indicated?
A. Computed tomography of the spine
B. Electromyography
C. Blood chemistries
D. Muscle biopsy
24
All of the following conditions should be considered in the diagnosis of fibromyalgia syndrome except:
A. Myofascial pain syndrome
B. Chronic fatigue syndrome
C. Polymyalgia rheumatica
D. Short bowel syndrome
25
Which of the following is a neuroendocrine abnormality noted in the patient with fibromyalgia syndrome?
A. High levels of substance P in spinal fluid
B. High serum concentrations of serotonin
C. High serum concentrations of tryptophan
D. Low levels of substance P in spinal fluid
26
Which of the following describes psychological disorder in fibromyalgia syndrome?
A. The majority of patients exhibit manic-depressive tendencies
B. Affective disorders are associated features
C. Depression is an associated feature
D. Panic disorder is a characteristic feature
27
Which of the following describes patient education in fibromyalgia syndrome?
A. Education sessions should include only the patient
B. Education sessions should include only the family
C. Education sessions should include both the patient along with family members or significant others
D. Education sessions should not be conducted until late in the course of treatment
28
Which of the following are common findings from the physical examination of the patient with fibromyalgia syndrome?
A. Bilateral weakness of the upper and lower extremities
B. Presence of several tender points
C. Limitation of shoulder rotation bilaterally
D. Strong evidence of joint swelling
29
Physical activity guidelines for the patient with fibromyalgia syndrome include:
A. An exercise intensity of 90% of the maximal heart rate for the age
B. A duration of 160 minutes per session
C. A program of ballistic stretching
D. It may be necessary to set a much lower goal initially, especially if the patient is deconditioned
30
Interventions that are deserving of future study in fibromyalgia syndrome include all of the following except:
A. Biofeedback training
B. Cognitive-behavioral approaches
C. Electroconvulsive therapy
D. Acupuncture


Remember to click "Submit" ONCE and please be patient while your answers are checked and the results are displayed. You will then be returned to this page to complete the required Evaluation. (Click on Evaluation when returning to this page.) Thank you for choosing the National Center!


 

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