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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. 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. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

2. What is a severe side effect of metformin
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin

3. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flecanide. Not to be used with LV insufficiency
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years

4. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

5. How do you treat low magnesium and low potassium in the hospital setting
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

6. What is the benefit of Welchol
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Erythromycin Clarithromycin Azithromycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

7. What are some causes of pitting edema
Tessalon (benzonate)
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

8. IBS
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dannitol (Phenobarbital +Atropine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

9. Name the fibric acids
STOP THE METFORMIN
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin

10. What are the 3rd generation heterocyclic Anti depressants
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

11. What drug can be used for cardioversion with structural heart disease
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

12. What are the 2nd generation heterocyclic Anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)

13. What can be used to relax muscles associated with tension head aches
Tricyclics
2 months 4 months
Dolgic (Acetamenaphen + butabital)
Proscar (finasteride)

14. When should the HEP A vaccine be administered
Dannitol (Phenobarbital +Atropine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

15. What are the first generation anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics

16. Name the macrolides
Vistaril (hydroxyzine)
Erythromycin Clarithromycin Azithromycin
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

17. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Block serotonin and Nor epinephrine
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

18. What ages the are the DTaP vaccine given
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-24 months 2. 6-18 months after initial dose

19. High blood pressure
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
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

20. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Tessalon (benzonate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Ibutilide (IV Only). It prolongs repolarization and the QT interval

21. What can be used to treat ADHD
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vyvanse (lisdexamphetamine)

22. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
1. Birth 2. 1-2 months 3. 6-18 months
Zofran (Ondansetron) Reglam (metoclopromide)
Zanaflex (tizanidine)

23. What is used to clean ears
1. 12-24 months 2. 6-18 months after initial dose
Debrox (carbamide peroxide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Nomanda (memantine) Exelon (Rivastigmine)

24. What ages are the Hep B vaccine given
Suboxone (Buprenorphine)
1. Birth 2. 1-2 months 3. 6-18 months
1.5
Tessalon (benzonate)

25. What can be used for cough suppression
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tessalon (benzonate)
Dolgic (Acetamenaphen + butabital)
Flagyl (Metronidazole)

26. Name the aminoglycoside
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

27. What is the duration action of intermediate acting benzo's
10-20 hours
Tetracycline Doxycycline Demeclocycline Minocycline
Zofran (Ondansetron) Reglam (metoclopromide)
2 months 4 months

28. What can be used for BPH
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Proscar (finasteride)

29. Withdrawal symptoms
Vistaril (hydroxyzine)
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

30. name the SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

31. name a central acting muscle relaxant
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zanaflex (tizanidine)
Neurogen (Filgastim)

32. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zanaflex (tizanidine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

33. What needs to be considered when treating a patient long term with lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

34. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months

35. What is the max creatinine clearance level for metformin
Gemofibrozil Fenofibrate Clofibrate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function

36. What are the ages for the pneumococcal vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

37. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
STOP THE METFORMIN
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

38. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Dolgic (Acetamenaphen + butabital)
Tricyclics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

39. What is the first line treatment for depression

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40. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

41. What can be used to prevent coagulation
Neurogen (Filgastim)
Temazepam (Reston) Lorazepam (Ativan)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Provigil (modafinil)

42. What are the effects of fibric acids
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)

43. Name the short acting benzodiazepines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2-8 hours

44. What can be used for nausea
Neurontin (gabapentin) Lyrica (Pregabalin)
Zofran (Ondansetron) Reglam (metoclopromide)
Tessalon (benzonate)
Pregabalin

45. What are the effects of nicotinic acid
Nomanda (memantine) Exelon (Rivastigmine)
Vistaril (hydroxyzine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tricyclics

46. Drug addiction and withdrawal
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)

47. Pediatric Hepatitis vaccinations should be given when?
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dolgic (Acetamenaphen + butabital)

48. What drug can be used to cardiovert AF of short duration
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

49. What are the ages that the measles mumps and rubella vaccine administered
2-8 hours
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dolgic (Acetamenaphen + butabital)

50. Name the intermediate acting benzodiazepines
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vyvanse (lisdexamphetamine)

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