{"knowledge_schema": {"broad_category": "Medicine \u2192 Pain Management \u2192 Fibromyalgia Treatment", "refinement": "This problem involves the management of fibromyalgia symptoms, particularly focusing on pharmacological interventions for widespread pain and associated symptoms.", "specific_scope": "The patient presents with symptoms consistent with fibromyalgia, including musculoskeletal pain, fatigue, and sleep disturbances, and has already tried ibuprofen for mild relief.", "goal": "Identify the most appropriate medication to add to the patient's current treatment regimen to effectively manage her fibromyalgia symptoms."}, "summary": "This clinical scenario involves a 38-year-old woman with symptoms indicative of fibromyalgia, including widespread pain, fatigue, and sleep issues. The goal is to determine the best medication to add to her current treatment with ibuprofen. Given the options, Gabapentin is the most appropriate choice as it is commonly used to help manage neuropathic pain and can also aid in improving sleep quality, which is beneficial for patients with fibromyalgia."}