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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 some options for pain control
Dannitol (Phenobarbital +Atropine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

2. What is the duration action of intermediate acting benzo's
Proscar (finasteride)
Provigil (modafinil)
Cholestyramine Colestipol Colesevalam
10-20 hours

3. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

4. Name the statins
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours

6. What can be used to relax muscles associated with tension head aches
Zofran (Ondansetron) Reglam (metoclopromide)
Dolgic (Acetamenaphen + butabital)
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months

7. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

8. What is used to clean ears
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Debrox (carbamide peroxide)
SSRI's
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

9. Name the fibric acids
Zofran (Ondansetron) Reglam (metoclopromide)
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV

10. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 12-15 months

11. What are the ages for the inactivated poliovirus
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. What ages the are the DTaP vaccine given
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

13. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

14. Erythematous Nodosum
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)
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.

15. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN
2 months 4 months
1. DTaP 2. PCV

16. How do you treat low magnesium and low potassium in the hospital setting
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

17. What are the 2 month pediatric vaccines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

18. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1.5
1. 12-24 months 2. 6-18 months after initial dose

19. What can be used to increase WBC counts
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months

20. What are the effects of nicotinic acid
1. 12-15 months 2. 4-6 years
1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

21. Name the long acting benzodiazepines
Tessalon (benzonate)
SSRI's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

22. What is the first line treatment for depression

23. What are the ages for the Hib vaccine
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose

24. Name the aminoglycoside
Dannitol (Phenobarbital +Atropine)
Temazepam (Reston) Lorazepam (Ativan)
Zanaflex (tizanidine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

25. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Proscar (finasteride)

26. What ages are the Hep B vaccine given
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

27. What are the first generation anti depressants
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Debrox (carbamide peroxide)
Tricyclics
Neurogen (Filgastim)

28. 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
Proscar (finasteride)
Cholestyramine Colestipol Colesevalam
Vyvanse (lisdexamphetamine)

29. What is the duration of short acting benzo's
2-8 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Temazepam (Reston) Lorazepam (Ativan)

30. What are the ages for the pneumococcal vaccine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

31. What are the ages that the measles mumps and rubella vaccine administered
Block serotonin and Nor epinephrine
Tricyclics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years

32. What are the effects of the bile acid sequestrants
2-8 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-24 months 2. 6-18 months after initial dose

33. What ages are the Rotavirus vaccine given
Tetracycline Doxycycline Demeclocycline Minocycline
SSRI's
2 months 4 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

34. name a central acting muscle relaxant
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zanaflex (tizanidine)

35. What can be used for BPH
Temazepam (Reston) Lorazepam (Ativan)
Tetracycline Doxycycline Demeclocycline Minocycline
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months

36. What drug can be used to cardiovert AF of short duration
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
SSRI's
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency

37. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

38. What can be used to treat against C-difference in addition to parasites and other bacteria.
1.5
Flagyl (Metronidazole)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

39. What can be used to prevent coagulation
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-24 months 2. 6-18 months after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

40. What is the effect of the statins
Dolgic (Acetamenaphen + butabital)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

41. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
2 months 4 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

42. Problems with welchol and diabetes
Statins (18-55% reduction)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

43. Name the bile acid sequestrants
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Cholestyramine Colestipol Colesevalam

44. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

45. Name the intermediate acting benzodiazepines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
SSRI's
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

46. What can be used to improve memory
Provigil (modafinil)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Nomanda (memantine) Exelon (Rivastigmine)
SSRI's

47. Drug addiction and withdrawal
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

48. What are anticoagulation treatment options
Erythromycin Clarithromycin Azithromycin
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
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

49. When should the varicella virus vaccine be administered
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years

50. IBS
Dannitol (Phenobarbital +Atropine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM