Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

Which of the following conditions is NOT commonly associated with fibromyalgia?

1. Headaches

2. Insomnia

3. Daily nausea

4. Depression

The correct answer is: Daily nausea

Fibromyalgia is a complex chronic pain syndrome characterized by widespread musculoskeletal pain, fatigue, and a variety of other symptoms. The condition is frequently associated with several comorbidities that can enhance the overall suffering of patients. Headaches, particularly tension-type headaches and migraines, are often reported by those with fibromyalgia. This relationship can be attributed to the shared pathophysiological mechanisms, such as abnormalities in pain processing and increased sensitivity to stimuli. Insomnia is another common issue among fibromyalgia patients. Sleep disturbances, including trouble falling asleep, staying asleep, and experiencing non-restorative sleep, can significantly exacerbate the pain and fatigue typically associated with fibromyalgia. Depression is also frequently seen in individuals with fibromyalgia. The chronic pain and fatigue that characterize the condition can lead to emotional distress, resulting in a higher incidence of mood disorders among these patients. In contrast, daily nausea is not a widely recognized symptom associated with fibromyalgia. While gastrointestinal disturbances can occur in some patients, such as irritable bowel syndrome, nausea is not a primary complaint or a common condition linked to fibromyalgia. Hence, this lack of association with daily nausea differentiates it from the other symptoms mentioned, which are well-documented in the fibromyalgia population. Overall,