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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

Instructions:

Answer 50 questions in 15 minutes.
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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 are the effects of the bile acid sequestrants
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

2. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Block serotonin and Nor epinephrine
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

3. Name the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)

4. What are the 6 month pediatric vaccines
Tetracycline Doxycycline Demeclocycline Minocycline
Tessalon (benzonate)
1. DTaP 2. PCV
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

5. Drug addiction and withdrawal
Trazodone (Desyrel) Buproprion (Wellbutrin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Suboxone (Buprenorphine)

6. Name the macrolides
Erythromycin Clarithromycin Azithromycin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

7. What are the first generation anti depressants
Tricyclics
Vyvanse (lisdexamphetamine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

8. What can be used to relax muscles associated with tension head aches
The list is far too long. According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure
Dolgic (Acetamenaphen + butabital)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. DTaP 2. PCV

9. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

10. Withdrawal symptoms
Vistaril (hydroxyzine)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

11. What are some options for pain control
1. 2 months 2. 4 months 3. 12-15 months
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

12. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zanaflex (tizanidine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

13. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
STOP THE METFORMIN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

14. What are anticoagulation treatment options
Proscar (finasteride)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

15. Pediatric Hepatitis vaccinations should be given when?
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tetracycline Doxycycline Demeclocycline Minocycline
2-8 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

16. What are the ages for the inactivated poliovirus
1.5
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

17. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)

18. What is used to clean ears
1. Birth 2. 1-2 months 3. 6-18 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)

19. What is the duration of short acting benzo's
Temazepam (Reston) Lorazepam (Ativan)
2-8 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate

20. High blood pressure
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
The list is far too long. According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure
Proscar (finasteride)

21. What are the effects of fibric acids
The list is far too long. According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)

22. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-15 months 2. 4-6 years

23. Name the intermediate acting benzodiazepines
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

24. Problems with welchol and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

25. What ages are the Rotavirus vaccine given
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
2 months 4 months
1. Birth 2. 1-2 months 3. 6-18 months

26. name the SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Trazodone (Desyrel) Buproprion (Wellbutrin)

27. name a central acting muscle relaxant
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)

28. What ages the are the DTaP vaccine given
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

29. What can be used to treat ADHD
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

30. What is Pradaxa
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

31. What is the max creatinine clearance level for metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)
1.5

32. What drug can be used to cardiovert AF of short duration
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)
Flecanide. Not to be used with LV insufficiency

33. Erythematous Nodosum
Dannitol (Phenobarbital +Atropine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

34. What are the 2 month pediatric vaccines
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)

35. What are the ages for the Hib vaccine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

36. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months
STOP THE METFORMIN

37. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Zanaflex (tizanidine)
Pregabalin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dannitol (Phenobarbital +Atropine)

38. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

39. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Cholestyramine Colestipol Colesevalam

40. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

41. What can be used for BPH
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

42. Name the short acting benzodiazepines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
The list is far too long. According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

43. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

44. How do you treat low magnesium and low potassium in the hospital setting
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

45. What are the 4 month pediatric vaccines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

46. What can be used for nausea
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)

47. What is the first line treatment for depression

48. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Flagyl (Metronidazole)
2-8 hours
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine

49. What is the duration action of intermediate acting benzo's
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
10-20 hours
Neurogen (Filgastim)
Vistaril (hydroxyzine)

50. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Statins (18-55% reduction)