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Family Medicine Tips Tricks And Treatments

Subjects : health-sciences, family-medicine

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. What labs are needed when admitting a new patient
Cefepine (maxipine) - IV Only
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
CMP - CBC - Chest Xray - EKG - Sed Rate
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae

2. Name the second generation cephalosporin
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Prostate protective (finnish study)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)

3. When should you use bacitracin
Exalga (Hydromorphone)
Low testosterone may increase risk
Topical against gram +
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

4. How are all carbapenems administered
1. Flouroquine 2. Zosyn 3. Vancomycin
IV only
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
1. Strep Pneumo 2. Mycoplasma

5. What organisms can be treated by 2nd Generation cephalosporins
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Gemcitabine either alone or in combination with erlotinib

6. Name the first generation cephalosporins
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Cefoperazone (cefobid) - IV - Cefotaxime (Claforan) - IV - Ceftazidime (Fortaz) - IV - Ceftizoximine (Cefizox) - IV - Ceftriaxone (Rocephin) - IV - Cefpodoxime (Vantin) - PO - Cefdinir (Omnicef) - PO - Ceftibuten (Cedax) - PO
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture

7. What is azithromycin used for
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
WBC>HG/HCT<pH

8. Name the carbapenems
Imipenem (Primaxin) Meropenem (merrem)
Alternative for penicillin allergic patients: gram positives (less than erythromycin) - H INfluenza - M. Catarrhalis - Mycobacterium avium - mycoplasma - legionella - C. trachomatis - Corynebacterium diptheria - B. Pertusis.
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
All patients with a fall hazard potential.

9. What is the treatment options for reducing prostate size
Symptomatic and when the colony count is greater than 100 -000
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
WBC>HG/HCT<pH

10. What is the determination of a liver transplant
NSAIDs (add others here)
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
1. Strep Pneumo 2. Mycoplasma

11. What is the therapeutic use for aminoglycosides
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
E. Coli - Enterobacter - klebsiella and pseudomonas; DO NOT COVER ANAEROBES
Topamax (Topiramate)
Gemcitabine either alone or in combination with erlotinib

12. What is the antibiotic spectrum of tetracycline
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
MRSA and Severe infections. IV Only
Celexa (Citalopram)
Great than 500

13. Where do the majority of blood clots in the heart form
Zoloft (Sertraline) or Xanax (Alprazolam)
Atrial septal Appendage
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones
OH YEA; Seraquel (quetiapine)

14. What are the averse effects of macrolides
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
GI Upset - Cholestatic hepatitis - allergic reaction - prolonged qt
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia

15. Name the short acting benzo's (2-8 hours)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
Mycobacterium Tuberculosis that are resistant to first line drugs.
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors
Zoloft (Sertraline) or Xanax (Alprazolam)

16. Scoring system of AFIB
Oh yea
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)

17. What is the mechanism for using cranberry juice for a UTI
Laboratory studies have demonstrated that cranberry juice inhibits adherence of uropathogens to uroepithelial cells. The mediators of this anti-adherence effect may be fructose - which could interfere with adhesion of type 1 fimbriated E. coli to uro
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)

18. When should you begin treating a UTI
Symptomatic and when the colony count is greater than 100 -000
Mycobacterium Tuberculosis that are resistant to first line drugs.
Cefepine (maxipine) - IV Only
Pseudomonas

19. What is the treatment for HAP
Nephrotoxicity - Ototoxicity - NMB
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Low testosterone may increase risk
1. Flouroquine 2. Zosyn 3. Vancomycin

20. 1st gen cephalosporins treat what organisms
Inflammation of the eye follicles
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)
NSAIDs (add others here)

21. What is the treatment for CAP
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Mycobacterium Tuberculosis that are resistant to first line drugs.
Celexa (Citalopram)
Imipenem (Primaxin) Meropenem (merrem)

22. What is natural penicillin used to treat
All patients with a fall hazard potential.
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
WBC>HG/HCT<pH

23. Can an atypical antipsychotic be used for anxiety
Pseudomonas
OH YEA; Seraquel (quetiapine)
1. Ultrasound 2. Hidascan 3. Endoscopy
Piperacillin (zosyn)

24. What are the key drugs excreted by the kidneys
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
1. soy products 2. SSRI
NSAIDs (add others here)
OH YEA; Seraquel (quetiapine)

25. What is the cutoff value for determination of COPD vs CHF?
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
BNP of 100
Mycobacterium Tuberculosis that are resistant to first line drugs.
Trazodone (desyrel) Buproprion (wellbutrin)

26. prevention of migraines
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
Topamax (Topiramate)
1. Flouroquine 2. Zosyn 3. Vancomycin
Symptomatic and when the colony count is greater than 100 -000

27. Name the 3rd generation heterolytic anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Option A. 1. Rocefin 2. zithromax Option B. Levoquin
GI Upset - Boney structures and teeth - LIver tox - Photo sensitivity - Vestibular resactions - Renal tox
Amikacin (amikin) Netilmicin (netromycin) Neomycin (mycifradin) Tobramycin (Nebcin) Gentamycin (Garamycin)

28. What are the 2nd generation heterolytic antidepressants
Cefepine (maxipine) - IV Only
Cefaclor (ceclor) - PO - Cefuroxime (Ceftin) - PO - Loracarbef (Lorabid) - PO - Cefprozil - Cefotetan (Cefotan) - IV - Cefoxitin (Mefoxin) - IV - Cefuroxime (Zinacef) - IV
Trazodone (desyrel) Buproprion (wellbutrin)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90

29. Blepharitis
Inflammation of the eye follicles
Topamax (Topiramate)
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Cefepine (maxipine) - IV Only

30. What are the major causes of microhematuria
Low testosterone may increase risk
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Imipenem (Primaxin) Meropenem (merrem)
TIGHTS: Trauma - Infection - Glomerulonephritis - HTN - Tumor - Stones

31. Name the macrolides
1. Strep Pneumo 2. Mycoplasma
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
Amoxicillin Ampicillin
1st line is Alpha blockers - 2nd line 5-a-reductase inhibitors

32. What is the glucose to A1C conversion estimates
Methimazole - PropylThioUracil - Tapazole
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Pretest probability = post test probability; With low pretest probability you will do nothing - while with high pretest probability you will do everything
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

33. How does testosterone correlate to CAD
Low testosterone may increase risk
A1C of 7 = Glucose of 150; A1C of 6 = Glucose of 120; A1C of 5 = Glucose of 90
Zoloft (Sertraline) or Xanax (Alprazolam)
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)

34. What large group of people is blood thinners contra-indicated
All patients with a fall hazard potential.
Erythromycin (E-mycin) - Clarithromycin (Biaxin) - Azithromycin (Zithromax)
1. Flouroquine 2. Zosyn 3. Vancomycin
Blood is digested in the GI tract forming Urea

35. Name the 4th generation cephalosporin
1. soy products 2. SSRI
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile
Oh yea
Cefepine (maxipine) - IV Only

36. What organisms can be treated by 3rd generation cephalosporins
CMP - CBC - Chest Xray - EKG - Sed Rate
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
Prostate protective (finnish study)
NSAIDs (add others here)

37. What is a good cocktail for a steroid injection?
1. 0.5 cc Lidocaine 2. 0.5 cc Marcaine 3. 2.0 cc Depot-medrol; Check up to date for a better mixture
Imipenem (Primaxin) Meropenem (merrem)
HEN PECK + Pseudomonas - Enterobacter - citerobacter and providencia
All gram positive - gram negative - anaerobic organism. Exceptions include MRSA - VRE - C. Difficile

38. Name the SSRI's
Pseudomonas
Cefadroxil (duricef)- Oral - cephalexin (keflex) - Oral - Cephradine (Velosef) - Oral - Cefazolin (Ancef) - IV
Blood is digested in the GI tract forming Urea
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)

39. What is the bruce protocol?
Prostate protective (finnish study)
Protocol used for an echo stress test. Treadmill is increased 2 degrees. Max heart rate is 220-age. The target on a stress test is 85% of max
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
GRAM + and PECK: Gram positive (Pneumococci - streptococcus and staphylococcus) - Gram Negative bacilli (Proteus - E. Coli - Klebsiella)

40. Why is BUN elevated in GI bleeds
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)
CHAD S2 Score: Congestive Heart Failure - Hypertension - Age > 75 - Diabetes Mellitus - Stroke (Prior)
Blood is digested in the GI tract forming Urea
Option A. 1. Rocefin 2. zithromax Option B. Levoquin

41. How to treat anxiety
Zoloft (Sertraline) or Xanax (Alprazolam)
Temazepam (Restron) Lorazepam (Ativan) Alprazolam (xanax)
WBC>HG/HCT<pH
Cefepine (maxipine) - IV Only

42. What are the clinical indications of aztreonam (azactam)
1. Flouroquine 2. Zosyn 3. Vancomycin
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Aerobic gram negative rods (pseudomonas - klebsiella - serratia)
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)

43. What is the lab shorthand for blood
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
WBC>HG/HCT<pH
Nephrotoxicity - Ototoxicity - NMB
BNP of 100

44. At what interval is the QT considered prolonged
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
PAT (Paroxysmal Atrial Tachycardia)
NA/K - Cl/CO2 - BUN/Cr - Ca/Glucose
Great than 500

45. What additional benefit my statins serve to the male population
Zoloft (Sertraline) or Xanax (Alprazolam)
Inflammation of the eye follicles
Prostate protective (finnish study)
1. soy products 2. SSRI

46. What is a good chemotherapy treatment option for pancreatic cancer
Protocol used for an echo stress test. Treadmill is increased 2 degrees. Max heart rate is 220-age. The target on a stress test is 85% of max
Tetracycline (Symycin) Doxycycline (Vibramycin) Demeclocycline (declomycin) Minocycline (minocin)
Zoloft (Sertraline) or Xanax (Alprazolam)
Gemcitabine either alone or in combination with erlotinib

47. Name the antipseudomonal penicillins
Mycobacterium Tuberculosis that are resistant to first line drugs.
Methimazole - PropylThioUracil - Tapazole
Bacteriostatic against - Gram positive - Gram negative - Anaerobes - chlamydiae - Mycoplasma - Rickettsiae
Piperacillin (zosyn)

48. Can Amiodarone lead to a complete loss of thyroid function
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
Severe infections by anaerobic bacteria:bacteroides fragilis - streptococci - staphylococci - pneumococci - Clostridium perfringens
Oh yea
1. Hydration 2. Increase salts 3. Steroids 4. Alpha agonist (midodrine)

49. What are treatment options for menopause
Cefepine (maxipine) - IV Only
1. soy products 2. SSRI
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron)
Gemcitabine either alone or in combination with erlotinib

50. How to treat depression
HEN PECK (H. Influenzae - Enterobacter - Neisseria and the PECK from the first generation)
Celexa (Citalopram)
Methimazole - PropylThioUracil - Tapazole
MELD Score: MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43