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How much do you know about the diagnosis and treatment of chronic fatigue syndrome?

 Last Update: 2022-10-01
 Source: Internet
 Author: User

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Chronic fatigue syndrome (CFS), also known as myalgia encephalomyelitis (ME), is a condition characterized by unexplained deep fatigue that worsens

Compiled and sorted out, please do not reprint

Question One

According to the 2020 consensus recommendations, which of the following are the symptoms required to diagnose ME/CFS?

Swipe to see the answer

↓↓↓

【Answers and Analysis】

Question two

Which of the following are considered common comorbidities of ME/CFS?

C.
Hypothyroidism

D.
Epilepsy

Swipe to see the answer

↓↓↓

【Answers and Analysis】

Answer: C
.

Patients with ME/CFS often have the following comorbidities
.

➤ Autonomic dysfunction (orthostatic tachycardia syndrome, neuromediated hypotension, orthostatic hypotension);

➤ Rheumatic diseases (fibromyalgia, Ehlers-Danlos syndrome, temporomandibular joint dysfunction, Sjogren syndrome);

➤ Diseases of the nervous system (paresthesia, poor balance, migraine, peripheral neuropathy, small fibrous neuropathy);

➤ Immune diseases (new allergies or worsening of allergies, mast cell activation syndrome, multiple chemical sensitivities, chronic infections, immunodeficiency);

➤ Gastrointestinal diseases (food allergies/intolerances, intestinal motility problems, celiac disease, irritable bowel syndrome, small intestinal bacterial overgrowth);

➤ Endocrine/metabolic disorders (hypothyroidism, hypothalamic-pituitary-adrenal axis disorders, metabolic syndrome);

➤ Sleep disorders (sleep apnea, restless legs syndrome, periodic limb movement disorder);

➤ Mental disorders (secondary anxiety, secondary depression);

➤ Gynecological diseases (endometriosis, premenstrual syndrome, vulvodyrosis);

➤Others (interstitial cystitis, overactive bladder, nutritional deficiencies, obesity).

Question Three

What laboratory tests are recommended for all patients with suspected ME/CFS, as recommended by the 2020 consensus?

A.
Red blood cell sedimentation rate

B.
Glycosylated hemoglobin

C.
Prothrombin time

D.
Creatine kinase

Swipe to see the answer

↓↓↓

【Answers and Analysis】

Answer: A
.

In line with the 2020 consensus recommendations, these routine tests are recommended for all patients with suspected ME/CFS: complete blood count and differential count, rheumatoid factor, comprehensive metabolic examination, salivary cortisol (wake up, noon, 4:00 p.
m.
and at bedtime), morning cortisol, antinuclear antibodies, thyroid-stimulating hormone, free thyroxine, C-reactive protein, vitamin B12, erythrocyte sedimentation rate, 25-dihydroxyvitamin D, ferritin,
。

Question Four

What non-pharmacological treatment is recommended for ME/CFS-related post-exercise discomfort?

A.
Cognitive behavioral therapy

B.
Graded exercise therapy

C.
High-intensity interval training

D.
Earplugs, eye masks and fragrance-free environments to reduce sensory irritation

Swipe to see the answer

↓↓↓

【Answers and Analysis】

Answer: D
.

Newly recommended non-pharmacological methods for conserving energy and minimizing post-exercise discomfort include the use of earplugs, eye masks, and a fragrance-free environment to reduce sensory stimulation
.

Question Five

Which medication is recommended to treat sleep problems in patients with ME/CFS?

A.
Benzodiazepines

B.
Selective serotonin reuptake inhibitor

C.
Trazodone

D.
Low dose β receptor blocker

Swipe to see the answer

↓↓↓

【Answers and Analysis】

Answer: C
.

Recommended pharmacotherapy includes: trazodone, low-dose tricyclic antidepressants, mirtazapine, antiepileptic drugs (eg, gabapentin, pregabalin), clonazepam, cyclobenzalin, zolpidem, α receptor blockers (eg, clonidine, prazosin), etc
.

Compiled by: Michael Stuart Bronze.
Fast Five Quiz: Chronic Fatigue Syndrome (Myalgic Encephalomyelitis) - Medscape - Jan 01, 2022.

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