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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. Name the tetracyclines
1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 months 3. 6-18 months

2. What are the effects of fibric acids
Pregabalin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)
Gemofibrozil Fenofibrate Clofibrate

3. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Tricyclics
Dolgic (Acetamenaphen + butabital)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

4. What ages are the Rotavirus vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
Dolgic (Acetamenaphen + butabital)

5. What are the 2nd generation heterocyclic Anti depressants
Erythromycin Clarithromycin Azithromycin
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

6. What are the ages for the inactivated poliovirus
Tricyclics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)

7. How do you treat low magnesium and low potassium in the hospital setting
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

8. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV

9. What are anticoagulation treatment options
1. Birth 2. 1-2 months 3. 6-18 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dannitol (Phenobarbital +Atropine)
Neurontin (gabapentin) Lyrica (Pregabalin)

10. What can be used for BPH
Proscar (finasteride)
2-8 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

11. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV

12. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5
1. 12-15 months 2. 4-6 years
Provigil (modafinil)

13. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
10-20 hours
Cholestyramine Colestipol Colesevalam
Vistaril (hydroxyzine)

14. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN
SSRI's

15. What is the benefit of Welchol
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

16. What can be used to prevent coagulation
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. DTaP 2. PCV

17. What can be used to treat against C-difference in addition to parasites and other bacteria.
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

18. What is an FDA approved prescription weight loss drug
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

19. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 months 3. 6-18 months
1.5
Zofran (Ondansetron) Reglam (metoclopromide)

20. What drug can be used for cardioversion with structural heart disease
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years
1. 12-15 months 2. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

21. What is the max creatinine clearance level for metformin
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1.5
Neurogen (Filgastim)

22. Name the bile acid sequestrants
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

23. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN

24. What ages are the Hep B vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

25. What class of drugs will lower LDL the most
Statins (18-55% reduction)
SSRI's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months

26. What are some causes of pitting edema
Zanaflex (tizanidine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dannitol (Phenobarbital +Atropine)
Vistaril (hydroxyzine)

27. What is the first line treatment for depression

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28. What are some options for pain control
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Nomanda (memantine) Exelon (Rivastigmine)
Debrox (carbamide peroxide)

29. IBS
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 12-15 months

30. Name the fibric acids
2-8 hours
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

31. What is Pradaxa
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function

32. What are the 3rd generation heterocyclic Anti depressants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Zofran (Ondansetron) Reglam (metoclopromide)

33. Problems with welchol and diabetes
Suboxone (Buprenorphine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline
Pregabalin

34. High blood pressure
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
Flagyl (Metronidazole)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

35. Withdrawal symptoms
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

36. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

37. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

38. What is used to clean ears
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-15 months 2. 4-6 years

39. What's the difference between CMP and BMP
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Proscar (finasteride)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

40. What needs to be considered when treating a patient long term with lasics
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

41. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency

42. What is the duration action of intermediate acting benzo's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. What is the effect of the statins
STOP THE METFORMIN
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dolgic (Acetamenaphen + butabital)

44. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

45. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Cholestyramine Colestipol Colesevalam
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%)

46. What are the first generation anti depressants
Tricyclics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dolgic (Acetamenaphen + butabital)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

47. What can be used to relax muscles associated with tension head aches
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

48. What drug is used to tx narcolepsy
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin

49. What can be used to increase WBC counts
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

50. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years