Which of the following is included in the described management of ME/CFS?

• A. Antibiotics
• B. Immunosuppressants
• C. Supportive care with cognitive behavioral therapy and low-impact exercises
• D. Surgery

Answer: (C)

ME/CFS management focuses on relieving symptoms and helping patients function better, since there’s no specific cure. The approach described—supportive care with cognitive behavioral therapy to help cope with symptoms and pacing with low-impact exercises tailored to energy levels—is the standard describe-and-manage strategy. Antibiotics or immunosuppressants aren’t routinely used for ME/CFS absent another separate condition, and surgery isn’t part of its treatment. The key idea is to manage energy, sleep, pain, and mood while avoiding overexertion that can trigger post‑exertional malaise, with CBT helping coping strategies and graded, gentle activity supporting gradual improvement.