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Fibromyalgia: Definition, Diagnosis, and Symptoms

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Which symptom set is most commonly pivotal for the diagnosis of fibromyalgia and occurs in a majority of patients?

a)

Isolated morning stiffness without cognitive changes

b)

Regional migraine headaches without widespread pain

c)

Generalized pain with fatigue and sleep disturbances

d)

Autonomic dysfunction with blurred vision predominance

2.

In the diagram showing the fibromyalgia symptom cycle, which step most directly follows chronic widespread pain to perpetuate the cycle?

a)

Avoidance of physical activity

b)

Improved quality of life through training

c)

Decreased tolerance of activity and function

d)

Increased risk of morbidity and autonomy loss

3.

Which exercise test modality is generally best tolerated for individuals with fibromyalgia during initial assessment?

a)

Aerobic submaximal exercise test

b)

Maximal treadmill VO2 peak protocol

c)

Anaerobic Wingate power test

d)

High-intensity interval cycling sprints

4.

During exercise testing with fibromyalgia, which monitoring approach is most appropriate to gauge perceived exertion?

a)

Track blood lactate samples

b)

Use Borg CR10 Scale ratings

c)

Measure skinfold thicknesses

d)

Record one-repetition maximum loads

5.

What symptom-report tool aligns with a 0–10 scale where 0 is no pain and 10 is severe pain?

a)

Visual numeric pain scale

b)

McGill Pain Questionnaire long form

c)

Brief Fatigue Inventory rating

d)

Oswestry Disability Index total score

6.

Which physiologic variables should be monitored both at rest and during the exercise test in fibromyalgia clients?

a)

Core temperature and sweat rate

b)

Respiratory rate and oxygen saturation

c)

Blood glucose and ketone levels

d)

Heart rate and blood pressure

7.

When assessing strength and flexibility in fibromyalgia, which approach is recommended?

a)

Avoid flexibility testing due to pain risk

b)

Rely solely on self-reported ability scores

c)

Use elite athletic performance standards

d)

Utilize tests similar to general adult population

8.

Which brief measure may be appropriate to include alongside flexibility tests for fibromyalgia clients?

a)

Multi-stage shuttle run field test

b)

Wingate anaerobic power and sprint time

c)

Isokinetic dynamometry at maximal torque

d)

Senior Fitness Test battery and handgrip strength

9.

What participant feedback should be actively monitored during fibromyalgia exercise testing to guide intensity?

a)

Sleep duration over the past month

b)

Weekly average training volume only

c)

How the individual feels during the test

d)

Food intake prior to the session

10.

A client with fibromyalgia enters an acute flare. Which adjustment best maintains activity while minimizing symptom exacerbation?

a)

Decrease intensity or duration before frequency

b)

Reduce frequency first, keep intensity high

c)

Stop all activity for two weeks

d)

Increase resistance to maintain strength