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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. What are the effects of nicotinic acid
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
STOP THE METFORMIN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

2. What are the effects of the bile acid sequestrants
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

3. What can be used to increase WBC counts
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurogen (Filgastim)

4. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Temazepam (Reston) Lorazepam (Ativan)

5. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Proscar (finasteride)
Pregabalin
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

6. What ages are the Hep B 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. 6 months 4. 12-15 months
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 months 3. 6-18 months

7. What is a severe side effect of metformin
Pregabalin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

8. 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. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 months 3. 6-18 months

9. What can be used to prevent coagulation
Neurogen (Filgastim)
SSRI's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

10. What can be used to treat against C-difference in addition to parasites and other bacteria.
Dolgic (Acetamenaphen + butabital)
Provigil (modafinil)
Flagyl (Metronidazole)
10-20 hours

11. What are the ages for the inactivated poliovirus
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

12. What can be used for BPH
Flagyl (Metronidazole)
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN

13. High blood pressure
1. DTaP 2. PCV
2-8 hours
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
SSRI's

14. Treatment for pre-diabetes
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

15. What is the duration action of intermediate acting benzo's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

16. What are the 2 month pediatric vaccines
Neurogen (Filgastim)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

17. Name the intermediate acting benzodiazepines
2-8 hours
1.5
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)

18. IBS
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

19. When should the varicella virus vaccine be administered
Vyvanse (lisdexamphetamine)
Pregabalin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years

20. What is the first line treatment for depression

21. Name the aminoglycoside
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

22. What can be used to improve memory
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 months 4 months
Vyvanse (lisdexamphetamine)
Nomanda (memantine) Exelon (Rivastigmine)

23. What are the first generation anti depressants
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tetracycline Doxycycline Demeclocycline Minocycline
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

24. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vyvanse (lisdexamphetamine)
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)

25. name the SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dannitol (Phenobarbital +Atropine)

26. What drug is used to tx narcolepsy
Provigil (modafinil)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

27. How do you treat low magnesium and low potassium in the hospital setting
Vyvanse (lisdexamphetamine)
Vistaril (hydroxyzine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

28. What is used to clean ears
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

29. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Zanaflex (tizanidine)
1. Birth 2. 1-2 months 3. 6-18 months
Dolgic (Acetamenaphen + butabital)

30. What are some causes of pitting edema
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

31. What is the effect of the statins
Pregabalin
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

32. Withdrawal symptoms
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

33. What can be used for cough suppression
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tricyclics

34. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Suboxone (Buprenorphine)

35. Erythematous Nodosum
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 months 3. 6-18 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

36. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
Neurogen (Filgastim)

37. What is an FDA approved prescription weight loss drug
Vistaril (hydroxyzine)
Dolgic (Acetamenaphen + butabital)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Erythromycin Clarithromycin Azithromycin

38. What are the ages that the measles mumps and rubella vaccine administered
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years

39. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

40. Name the statins
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

41. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN

42. What is the max creatinine clearance level for metformin
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 months 3. 6-18 months
Erythromycin Clarithromycin Azithromycin

43. Name the macrolides
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)
Erythromycin Clarithromycin Azithromycin

44. What ages the are the DTaP vaccine given
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

45. What is Pradaxa
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

46. What are the 6 month pediatric vaccines
Tessalon (benzonate)
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

47. What drug can be used for cardioversion with structural heart disease
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)

48. name a central acting muscle relaxant
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
Zanaflex (tizanidine)

49. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

50. What are some options for pain control
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)