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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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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. Name the intermediate acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

2. What are the 6 month pediatric vaccines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2-8 hours
Proscar (finasteride)
1. DTaP 2. PCV

3. What drug can be used for cardioversion with structural heart disease
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval

4. name a central acting muscle relaxant
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Proscar (finasteride)

5. name the SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
SSRI's

6. What is used to clean ears
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Debrox (carbamide peroxide)

7. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Dolgic (Acetamenaphen + butabital)
1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

8. What are the 4 month pediatric vaccines
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

9. What can be used for cough suppression
Tessalon (benzonate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
10-20 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

10. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
2-8 hours
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

11. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. What's the difference between CMP and BMP
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurogen (Filgastim)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

13. When should the HEP A vaccine be administered
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zanaflex (tizanidine)
1. 12-24 months 2. 6-18 months after initial dose

14. Name the long acting benzodiazepines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

15. What are some options for pain control
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

16. What is an FDA approved prescription weight loss drug
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

17. Name the aminoglycoside
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Erythromycin Clarithromycin Azithromycin

18. 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
Flagyl (Metronidazole)
Flecanide. Not to be used with LV insufficiency

19. What are the effects of the bile acid sequestrants
1.5
Provigil (modafinil)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

20. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 months 4 months

21. What can be used for nausea
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

22. What is the effect of the statins
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)
Temazepam (Reston) Lorazepam (Ativan)

23. What can be used to increase WBC counts
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)

24. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Erythromycin Clarithromycin Azithromycin
Statins (18-55% reduction)

25. Name the short acting benzodiazepines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
10-20 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 months 3. 6-18 months

26. What are the 2nd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

27. What can be used to relax muscles associated with tension head aches
Flagyl (Metronidazole)
Vyvanse (lisdexamphetamine)
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

28. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Proscar (finasteride)
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years

29. What drug is used to tx narcolepsy
Provigil (modafinil)
Statins (18-55% reduction)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)

30. What are some causes of pitting edema
10-20 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years

31. What is the duration of short acting benzo's
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

32. Name the bile acid sequestrants
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam
Flecanide. Not to be used with LV insufficiency

33. 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
1. 12-24 months 2. 6-18 months after initial dose
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline

34. What are the 2 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

35. What ages are the Hep B vaccine given
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 months 3. 6-18 months
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

36. What are the effects of fibric acids
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)

37. What is the first line treatment for depression

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38. What are the ages for the inactivated poliovirus
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

39. What are the ages for the Hib vaccine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months

40. IBS
1. 2 months 2. 4 months 3. 12-15 months
Dannitol (Phenobarbital +Atropine)
Tricyclics
Pregabalin

41. What can be used to prevent coagulation
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Pregabalin
STOP THE METFORMIN

42. What are the first generation anti depressants
Tricyclics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine
Flecanide. Not to be used with LV insufficiency

43. Problems with welchol and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Debrox (carbamide peroxide)
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

44. What needs to be considered when treating a patient long term with lasics
Tricyclics
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

45. Withdrawal symptoms
1.5
Vistaril (hydroxyzine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

46. Drug addiction and withdrawal
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurogen (Filgastim)
Suboxone (Buprenorphine)

47. What can be used for BPH
Proscar (finasteride)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

48. Treatment for pre-diabetes
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. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

49. What can be used to treat ADHD
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)

50. 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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

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