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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.
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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. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN
SSRI's
Vyvanse (lisdexamphetamine)

2. name the SSRI's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
Debrox (carbamide peroxide)

3. What drug is used to tx narcolepsy
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate
Ibutilide (IV Only). It prolongs repolarization and the QT interval

4. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tricyclics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

5. What can be used to treat against C-difference in addition to parasites and other bacteria.
SSRI's
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate

6. What are the effects of fibric acids
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Debrox (carbamide peroxide)
Pregabalin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

7. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 months 4 months
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

8. What is the max creatinine clearance level for metformin
1. 2 months 2. 4 months 3. 12-15 months
1.5
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

9. What are the 3rd generation heterocyclic Anti depressants
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vyvanse (lisdexamphetamine)

10. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

11. What is Pradaxa
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)
Tricyclics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

12. What is the benefit of Welchol
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

13. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
SSRI's
1.5
1. DTaP 2. PCV

14. IBS
Dannitol (Phenobarbital +Atropine)
2-8 hours
Statins (18-55% reduction)
Gemofibrozil Fenofibrate Clofibrate

15. What's the difference between CMP and BMP
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

16. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

17. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
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
2-8 hours

18. What can be used to relax muscles associated with tension head aches
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dolgic (Acetamenaphen + butabital)

19. Name the fibric acids
Neurogen (Filgastim)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours

20. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

21. High blood pressure
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)

22. When should the HEP A vaccine be administered
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Temazepam (Reston) Lorazepam (Ativan)
Dolgic (Acetamenaphen + butabital)
1. 12-24 months 2. 6-18 months after initial dose

23. What can be used to increase WBC counts
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vistaril (hydroxyzine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurogen (Filgastim)

24. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Statins (18-55% reduction)
Flecanide. Not to be used with LV insufficiency
10-20 hours

25. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
Block serotonin and Nor epinephrine
Provigil (modafinil)

26. When should the varicella virus vaccine be administered
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years

27. Name the long acting benzodiazepines
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

28. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

29. What are the effects of the bile acid sequestrants
SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pregabalin
Provigil (modafinil)

30. Name the short acting benzodiazepines
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Erythromycin Clarithromycin Azithromycin

31. What can be used for cough suppression
Tessalon (benzonate)
Statins (18-55% reduction)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

32. What drug can be used to cardiovert AF of short duration
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1.5
Flecanide. Not to be used with LV insufficiency

33. What can be used to improve memory
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

34. Name the bile acid sequestrants
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
Nomanda (memantine) Exelon (Rivastigmine)

35. What class of drugs will lower LDL the most
10-20 hours
Nomanda (memantine) Exelon (Rivastigmine)
Statins (18-55% reduction)
1. Birth 2. 1-2 months 3. 6-18 months

36. Withdrawal symptoms
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vistaril (hydroxyzine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

37. What are some causes of pitting edema
Zofran (Ondansetron) Reglam (metoclopromide)
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics

38. What is used to clean ears
Debrox (carbamide peroxide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

39. What are the ages that the measles mumps and rubella vaccine administered
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

40. How do you treat low magnesium and low potassium in the hospital setting
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

41. What is the first line treatment for depression

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42. What is a severe side effect of metformin
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

43. What are the 2 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

44. Erythematous Nodosum
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

45. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
10-20 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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

46. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN

47. What are some options for pain control
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

48. name a central acting muscle relaxant
Temazepam (Reston) Lorazepam (Ativan)
Zanaflex (tizanidine)
Pregabalin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

49. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

50. Problems with welchol and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM