Questão 59

Recent studies have suggested that most people who have been diagnosed with fibromyalgia by physicians may not actually have the condition. A new Arthritis Care & Research study found that overall agreement between clinicians' diagnosis of fibromyalgia and diagnosis by published criteria is only fair.

In an accompanying editorial Dr. Don Goldenberg, of Oregon Health & Science University, noted that to conclude that expert physicians often misdiagnose fibromyalgia $⟹$ that published criteria are superior to expert clinical judgement for the diagnosis of individual patients. He stressed that this fails to account for many of the variables present $\in$ clinical encounters, including time spent $\in$ evaluating and categorizing each patient's multiple symptoms. "The diagnostic gold standard for fibromyalgia will continue to be the rheumatologist's expert opinion, not classification criteria, no matter how well-refined and intentioned," he wrote. "This is the only way to capture the variability and severity of inter-related symptoms as they play out over time."

https://www.sciencedaily.com/releases/2019/02/190206091412.htm

Analise as alternativas que seguem e assinale abaixo a opção CORRETA.

I. Os reumatologistas são bem-intencionados, contudo incapazes de diagnosticar a fibromialgia.
II. Os critérios utilizados para o diagnóstico de fibromialgia foram considerados antiquados.
III. Uma das possíveis causas para o problema de diagnóstico citado é a obediência aos critérios estabelecidos.
IV. A demora no início do tratamento pode agravar o caso de fibromialgia.
V. A análise clínica dos sintomas oferece melhor panorama sobre a ocorrência da fibromialgia do que os critérios de diagnóstico estabelecidos.