M2 Lesson 1.

Which of the following explains the rationale for early identification of post-exertional malaise? Select all that apply.

PEM is often overlooked

Missing PEM can lead to further functional impairment

Identification of PEM requires adjustment of the therapeutic approach

PEM is simply fatigue and requires the same management

What are the indications to screen for post-exertional malaise? Select all that apply.

Poor response to exertion and activity

An unexpected decline in functional capacity

Multiple symptom involvement

A pattern of "boom and bust" or "push and crash"

Lack of improvement with standard exercise protocols

After 6 weeks of graded exercise, Rebecca’s function declined significantly. What is the most likely explanation?

Poor motivation

Normal deconditioning

Inappropriate grading of activity

Exercise‑induced exacerbation of ME/CFS due to PEM

Have you encountered patients in your practice with similar patterns? Provide a brief response to the following questions. There is no right or wrong response and the answer won’t be graded, this is your opportunity to think about your current practice and challenges you face.

How does diagnostic uncertainty affect your confidence?
What do you think when standard approaches don’t work?
What would help you feel more equipped?

This response will be reviewed and graded after submission.

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

What are the indications to screen for post-exertional malaise? Select all that apply.

3. Question

After 6 weeks of graded exercise, Rebecca’s function declined significantly. What is the most likely explanation?

4. Question