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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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 fibric acids
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years

2. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
Flagyl (Metronidazole)
Pregabalin

3. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tessalon (benzonate)
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

4. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
STOP THE METFORMIN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Pregabalin

5. What ages the are the DTaP vaccine given
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

6. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

7. What is Pradaxa
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

8. What are the ages for the Hib vaccine
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months
Neurogen (Filgastim)

9. What are anticoagulation treatment options
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

10. What are the 3rd generation heterocyclic Anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline

11. What drug can be used to cardiovert AF of short duration
Nomanda (memantine) Exelon (Rivastigmine)
Flecanide. Not to be used with LV insufficiency
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)

12. Name the macrolides
STOP THE METFORMIN
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

13. Drug addiction and withdrawal
Provigil (modafinil)
Flagyl (Metronidazole)
Statins (18-55% reduction)
Suboxone (Buprenorphine)

14. What ages are the Rotavirus vaccine given
2 months 4 months
Zanaflex (tizanidine)
Debrox (carbamide peroxide)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

15. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 months 3. 6-18 months
Provigil (modafinil)
Zanaflex (tizanidine)

16. Name the short acting benzodiazepines
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

17. What can be used for nausea
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
SSRI's

18. What class of drugs will lower LDL the most
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)

19. When should the HEP A vaccine be administered
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

20. What needs to be considered when treating a patient long term with lasics
1. Birth 2. 1-2 months 3. 6-18 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years

21. What are the ages for the inactivated poliovirus
Tetracycline Doxycycline Demeclocycline Minocycline
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

22. What is an FDA approved prescription weight loss drug
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

23. What can be used to increase WBC counts
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Neurontin (gabapentin) Lyrica (Pregabalin)

24. What are some options for pain control
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

25. What is used to clean ears
Proscar (finasteride)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
SSRI's
Debrox (carbamide peroxide)

26. What can be used for BPH
Proscar (finasteride)
Temazepam (Reston) Lorazepam (Ativan)
Pregabalin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

27. What are the 4 month pediatric vaccines
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

28. Name the statins
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

29. name a central acting muscle relaxant
Zanaflex (tizanidine)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

30. When should the varicella virus vaccine be administered
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

31. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate

32. What are the effects of the bile acid sequestrants
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tricyclics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

33. What can be used for cough suppression
Flagyl (Metronidazole)
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
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

34. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

35. Neuropathic Pain management
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurontin (gabapentin) Lyrica (Pregabalin)
1. DTaP 2. PCV

36. What is the duration action of intermediate acting benzo's
STOP THE METFORMIN
Statins (18-55% reduction)
10-20 hours
Provigil (modafinil)

37. IBS
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Statins (18-55% reduction)

38. What can be used to prevent coagulation
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

39. Pediatric Hepatitis vaccinations should be given when?
Pregabalin
Tricyclics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

40. Problems with welchol and diabetes
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

41. Name the tetracyclines
Cholestyramine Colestipol Colesevalam
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline
Tricyclics

42. Name the aminoglycoside
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

43. What is the effect of the statins
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

44. What can be used to treat ADHD
2-8 hours
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5

45. What is the first line treatment for depression

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46. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
SSRI's

47. What drug can be used for cardioversion with structural heart disease
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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

48. Name the long acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. DTaP 2. PCV

49. Withdrawal symptoms
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tricyclics
Proscar (finasteride)
Vistaril (hydroxyzine)

50. Name the bile acid sequestrants
1. Birth 2. 1-2 months 3. 6-18 months
Tessalon (benzonate)
Zofran (Ondansetron) Reglam (metoclopromide)
Cholestyramine Colestipol Colesevalam