Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

What is often observed in a physical examination of a patient with fibromyalgia?

1. Neuro deficits

2. Paravertebral tenderness

3. High blood pressure

4. Acute muscle wasting

The correct answer is: Paravertebral tenderness

In a physical examination of a patient with fibromyalgia, paravertebral tenderness is a commonly observed finding. Fibromyalgia is characterized by widespread musculoskeletal pain, fatigue, and tenderness at specific sites on the body, including the paravertebral region. This tenderness is often an important aspect of the condition and can be assessed during a physical examination, making it a characteristic feature of fibromyalgia. Patients may not have neurological deficits, high blood pressure, or acute muscle wasting, which differentiates fibromyalgia from other conditions. Neurological deficits typically indicate a central nervous system issue, high blood pressure is not a direct symptom of fibromyalgia, and acute muscle wasting is more indicative of specific neuromuscular disorders rather than fibromyalgia. Thus, the presence of paravertebral tenderness aligns well with the typical clinical presentation of fibromyalgia.