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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 drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
Vistaril (hydroxyzine)

2. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 12-15 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 months 4 months
1.5

3. name a central acting muscle relaxant
1. Birth 2. 1-2 months 3. 6-18 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zanaflex (tizanidine)
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

4. What is used to clean ears
Debrox (carbamide peroxide)
Suboxone (Buprenorphine)
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years

5. Problems with welchol and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

6. What is the duration of short acting benzo's
2-8 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-24 months 2. 6-18 months after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

7. What are the effects of fibric acids
Vyvanse (lisdexamphetamine)
Vistaril (hydroxyzine)
Zanaflex (tizanidine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

8. What can be used for cough suppression
Tessalon (benzonate)
Pregabalin
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

9. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

10. What are some options for pain control
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

11. What are the 2 month pediatric vaccines
Debrox (carbamide peroxide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. What are the 6 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. DTaP 2. PCV
1. Birth 2. 1-2 months 3. 6-18 months
Nomanda (memantine) Exelon (Rivastigmine)

13. Name the aminoglycoside
Block serotonin and Nor epinephrine
Proscar (finasteride)
Provigil (modafinil)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

14. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

15. Drug addiction and withdrawal
Tricyclics
Suboxone (Buprenorphine)
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
10-20 hours
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

17. What are the effects of nicotinic acid
Erythromycin Clarithromycin Azithromycin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

18. What can be used to increase WBC counts
10-20 hours
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)

19. IBS
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dannitol (Phenobarbital +Atropine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline

20. What is Pradaxa
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

21. High blood pressure
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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
Flecanide. Not to be used with LV insufficiency

22. What are the ages for the inactivated poliovirus
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

23. name the SSRI's
Dolgic (Acetamenaphen + butabital)
2-8 hours
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

24. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Tessalon (benzonate)
Debrox (carbamide peroxide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

25. What are the 4 month pediatric vaccines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years

26. What are the ages that the measles mumps and rubella vaccine administered
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years

27. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. 12-24 months 2. 6-18 months after initial dose
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)

28. What needs to be considered when treating a patient long term with lasics
Neurontin (gabapentin) Lyrica (Pregabalin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zanaflex (tizanidine)

29. Name the short acting benzodiazepines
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
10-20 hours

30. Pediatric Hepatitis vaccinations should be given when?
Dannitol (Phenobarbital +Atropine)
Block serotonin and Nor epinephrine
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

31. What drug can be used for cardioversion with structural heart disease
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tessalon (benzonate)
1. Birth 2. 1-2 months 3. 6-18 months

32. What can be used for nausea
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

33. What is the duration action of intermediate acting benzo's
1. 12-24 months 2. 6-18 months after initial dose
10-20 hours
Gemofibrozil Fenofibrate Clofibrate
Block serotonin and Nor epinephrine

34. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN
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. DTaP 2. PCV

35. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)

36. What are the effects of the bile acid sequestrants
1.5
Erythromycin Clarithromycin Azithromycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

37. What are the 3rd generation heterocyclic Anti depressants
Dannitol (Phenobarbital +Atropine)
Suboxone (Buprenorphine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months

38. What are the ages for the Hib vaccine
1.5
1. 2 months 2. 4 months 3. 12-15 months
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

39. Withdrawal symptoms
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)

40. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

42. What are some causes of pitting edema
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
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. What are the first generation anti depressants
Tricyclics
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2-8 hours

44. What class of drugs will lower LDL the most
STOP THE METFORMIN
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Statins (18-55% reduction)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

45. What can be used to treat ADHD
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vyvanse (lisdexamphetamine)
Tessalon (benzonate)

46. What ages are the Rotavirus vaccine given
2 months 4 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Erythromycin Clarithromycin Azithromycin

47. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)

48. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

49. When should the varicella virus vaccine be administered
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Tricyclics

50. Erythematous Nodosum
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)