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* NBME Question?
 #841865  
  vuyyuru - 06/18/17 13:31
 
  8 yr old woman for follow up of fibromyalgia.u had been treating her for several yrs for non specific muscle aches and pains .fibromyalgia was diagnosed 3mths agao an amitriptyline Rx was started.at follow up visit 3weeks ago ,she showed little response to amitriptyline and naproxen was addedto her regimen.today she returns to the office compaining that every time i get the least little bump on my hand the skin seems to tear.her physical exm is unchanged except for the lesions.which of the following is most appropriate management

1discontinue amitriptyline
2dicontinue naproxen
3prescibe oral corticosteroids
4prescribe topical corticosteroids
5prescribe topical 5-flourouracil
 
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* Re:NBME Question?
#3341345
  sagarika123 - 06/18/17 18:31
 
  ans is 2  
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