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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 ages for the inactivated poliovirus
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1.5
1. 12-24 months 2. 6-18 months after initial dose

2. What drug can be used for cardioversion with structural heart disease
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

3. What are the ages for the pneumococcal vaccine
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Cholestyramine Colestipol Colesevalam

4. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months

5. Pediatric Hepatitis vaccinations should be given when?
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
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

6. Name the fibric acids
1. Birth 2. 1-2 months 3. 6-18 months
Gemofibrozil Fenofibrate Clofibrate
Trazodone (Desyrel) Buproprion (Wellbutrin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

7. How do you treat low magnesium and low potassium in the hospital setting
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2-8 hours
Dannitol (Phenobarbital +Atropine)

8. What is used to clean ears
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)
Zanaflex (tizanidine)

9. name the SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dannitol (Phenobarbital +Atropine)
Pregabalin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. Name the macrolides
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Erythromycin Clarithromycin Azithromycin

11. Treatment for pre-diabetes
1.5
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.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

12. What are some options for pain control
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Statins (18-55% reduction)

13. What is the max creatinine clearance level for metformin
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1.5
Erythromycin Clarithromycin Azithromycin

14. What class of drugs will lower LDL the most
Suboxone (Buprenorphine)
1.5
Vyvanse (lisdexamphetamine)
Statins (18-55% reduction)

15. What are the 2 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Debrox (carbamide peroxide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. What drug is used to tx narcolepsy
Neurontin (gabapentin) Lyrica (Pregabalin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vyvanse (lisdexamphetamine)
Provigil (modafinil)

17. What are the effects of fibric acids
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

18. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine

19. Neuropathic Pain management
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)

20. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

21. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours

22. Name the tetracyclines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline

23. What are the 3rd generation heterocyclic Anti depressants
Suboxone (Buprenorphine)
Cholestyramine Colestipol Colesevalam
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

24. What are the effects of nicotinic acid
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

25. What's the difference between CMP and BMP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)

26. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months
1.5
2-8 hours

27. High blood pressure
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
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 12-15 months
Erythromycin Clarithromycin Azithromycin

28. What is the duration of short acting benzo's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2-8 hours

29. What can be used for cough suppression
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Birth 2. 1-2 months 3. 6-18 months
Tessalon (benzonate)
Provigil (modafinil)

30. What can be used for BPH
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 months 3. 6-18 months
Proscar (finasteride)
Tessalon (benzonate)

31. What is the benefit of Welchol
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

32. What is a severe side effect of metformin
Tricyclics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. DTaP 2. PCV

33. Name the bile acid sequestrants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Cholestyramine Colestipol Colesevalam
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

34. When should the HEP A vaccine be administered
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1.5
1. 12-24 months 2. 6-18 months after initial dose
Nomanda (memantine) Exelon (Rivastigmine)

35. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dannitol (Phenobarbital +Atropine)
Provigil (modafinil)
STOP THE METFORMIN

36. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

37. What are the effects of the bile acid sequestrants
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

38. Problems with welchol and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)

39. What are the first generation anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)
Tricyclics
STOP THE METFORMIN

40. What is Pradaxa
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

41. Name the statins
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

42. What can be used to treat against C-difference in addition to parasites and other bacteria.
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. What are the 6 month pediatric vaccines
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Nomanda (memantine) Exelon (Rivastigmine)
1. DTaP 2. PCV

44. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

45. Erythematous Nodosum
1. 12-24 months 2. 6-18 months after initial dose
SSRI's
Trazodone (Desyrel) Buproprion (Wellbutrin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

46. What is the effect of the statins
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zanaflex (tizanidine)

47. Name the short acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

48. What are anticoagulation treatment options
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years

49. What is the first line treatment for depression

50. What can be used to increase WBC counts
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
Vyvanse (lisdexamphetamine)
Neurogen (Filgastim)