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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. What can be used for BPH
STOP THE METFORMIN
1. DTaP 2. PCV
Proscar (finasteride)
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

2. What's the difference between CMP and BMP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

3. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Provigil (modafinil)
Dolgic (Acetamenaphen + butabital)

4. What is a severe side effect of metformin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

5. What are the first generation anti depressants
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tricyclics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

6. name a central acting muscle relaxant
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Flecanide. Not to be used with LV insufficiency
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zanaflex (tizanidine)

7. What is the first line treatment for depression

8. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's

9. What can be used for cough suppression
Vyvanse (lisdexamphetamine)
Tessalon (benzonate)
Provigil (modafinil)
10-20 hours

10. 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
Neurontin (gabapentin) Lyrica (Pregabalin)
SSRI's
Suboxone (Buprenorphine)

11. What are the effects of nicotinic acid
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Suboxone (Buprenorphine)
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

12. What needs to be considered when treating a patient long term with lasics
Tetracycline Doxycycline Demeclocycline Minocycline
Nomanda (memantine) Exelon (Rivastigmine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

13. What are the effects of the bile acid sequestrants
Debrox (carbamide peroxide)
1. 12-15 months 2. 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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

14. Name the fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam
Gemofibrozil Fenofibrate Clofibrate

15. What are the 6 month pediatric vaccines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. DTaP 2. PCV
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

16. What can be used to increase WBC counts
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)
Vistaril (hydroxyzine)
10-20 hours

17. What is Pradaxa
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Block serotonin and Nor epinephrine

18. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Cholestyramine Colestipol Colesevalam

19. What is an FDA approved prescription weight loss drug
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tetracycline Doxycycline Demeclocycline Minocycline
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

20. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Neurogen (Filgastim)
STOP THE METFORMIN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

21. What is the duration of short acting benzo's
Debrox (carbamide peroxide)
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

22. Name the tetracyclines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months

23. What drug can be used to cardiovert AF of short duration
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)
Flecanide. Not to be used with LV insufficiency
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

24. What are some options for pain control
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

25. How do you treat low magnesium and low potassium in the hospital setting
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dolgic (Acetamenaphen + butabital)

26. What is the max creatinine clearance level for metformin
1.5
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)

27. What can be used to relax muscles associated with tension head aches
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Provigil (modafinil)
Dolgic (Acetamenaphen + butabital)

28. Drug addiction and withdrawal
Provigil (modafinil)
STOP THE METFORMIN
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

29. What are some causes of pitting edema
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate

30. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
2-8 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)

31. When should the HEP A vaccine be administered
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose

32. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)

33. What are the effects of fibric acids
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

35. Problems with welchol and diabetes
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A CMP is a BMP (kidney - electrolytes) PLUS liver function

36. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

37. Erythematous Nodosum
Zofran (Ondansetron) Reglam (metoclopromide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

38. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

39. When should the varicella virus vaccine be administered
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years

40. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

41. Name the short acting benzodiazepines
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Statins (18-55% reduction)
Nomanda (memantine) Exelon (Rivastigmine)

42. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)

43. Name the macrolides
Erythromycin Clarithromycin Azithromycin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Cholestyramine Colestipol Colesevalam
Proscar (finasteride)

44. Name the statins
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Block serotonin and Nor epinephrine
2-8 hours

45. Treatment for pre-diabetes
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

46. What ages are the Rotavirus vaccine given
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)
2 months 4 months

47. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2-8 hours

48. Name the intermediate acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

49. What is the effect of the statins
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tricyclics

50. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban