Medscape: Fast Five Quiz: Chronic Fatigue Syndrome (Myalgic Encephalomyelitis)

Kalliope

Kalliope

Senior Member (Voting Rights)
Medscape has made a quiz based on the consensus recommendations from the US ME/CFS Clinical Coalition.

Here are the questions with the answers to choose from:

Question 1
According to 2020 consensus recommendation, which of these is a symptom required for a diagnosis of ME/CFS?
  • Myalgia
  • Unrefreshing Sleep
  • Dyspnea
  • Syncope
Question 2
Which is considered a common comorbidity of ME/CFS?
  • Gastroesophageal reflux disease
  • Hypertension
  • Hypothyroidism
  • Epilepsy
Question 3
According to 2020 consensus recommendations, which laboratory study is recommended in all patients with suspected ME/CFS?
  • Erythrocyte sedimentation rate
  • Hemoglobin A1c
  • Prothombin time
  • Creatine kinase
Question 4
Which is recommended for nonpharmacologic treatment of postexertional malaise associated with ME/CFS?
  • Cognitive-behavioural therapy
  • Graded exercise therapy
  • High-intensity interval training
  • Ear plugs, eye mask, and perfume free environments to decrease sensory stimulation
Question 5
Which medication is recommended to treat sleep issues in patients with ME/CFS?
  • Benzodiazepines
  • Selective serotonin reuptake inhibitors
  • Trazadone
  • Low-dose beta blockers
 
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Each question is then followed with some additional information. Very nice to see the this information in connection with question 4:

Cognitive-behavioral therapy and graded exercise therapy were recommended for ME/CFS in the past. However, studies supporting those approaches have been widely criticized. New recommended nonpharmacologic approaches to conserve energy and to minimize postexertional malaise include:

  • Pacing of physical and cognitive activity

  • Use of assistive devices, such as motorized scooters, handicap parking stickers, and shower chairs to conserve energy

  • Use of home health aides for those who are more severely ill

  • Use of ear plugs, eye masks, and perfume-free environments to decrease sensory stimulation

  • School or work accommodations, such as flexible hours and shortened days
 
Great to see this quiz!

I got question #5 wrong.

Other than dyspnea in question 1, it was difficult to choose between Myalgia and unrefreshing sleep. Although I know the IOM cited unrefreshing sleep as one of the main symptoms.

And, I think it's more frequently the case pwME experience pre-syncope, and not frequent syncope.
 
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