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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 can be used to increase WBC counts
Cholestyramine Colestipol Colesevalam
STOP THE METFORMIN
Neurogen (Filgastim)
1. DTaP 2. PCV

2. What class of drugs will lower LDL the most
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Statins (18-55% reduction)
Tricyclics
Gemofibrozil Fenofibrate Clofibrate

3. What needs to be considered when treating a patient long term with lasics
1. 12-15 months 2. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-24 months 2. 6-18 months after initial dose

4. What is a severe side effect of metformin
Proscar (finasteride)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zofran (Ondansetron) Reglam (metoclopromide)
Neurogen (Filgastim)

5. What can be used to relax muscles associated with tension head aches
Pregabalin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)

6. When should the HEP A vaccine be administered
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flagyl (Metronidazole)
1. 12-24 months 2. 6-18 months after initial dose
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

7. When should the varicella virus vaccine be administered
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate
Pregabalin
1. 12-15 months 2. 4-6 years

8. How do you treat low magnesium and low potassium in the hospital setting
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
1. 2 months 2. 4 months 3. 12-15 months
Gemofibrozil Fenofibrate Clofibrate

9. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Cholestyramine Colestipol Colesevalam
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

10. name the SSRI's
Temazepam (Reston) Lorazepam (Ativan)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's

11. What drug is used to tx narcolepsy
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Provigil (modafinil)
Vyvanse (lisdexamphetamine)

12. What can be used for nausea
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV

13. What are the effects of fibric acids
Neurogen (Filgastim)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tessalon (benzonate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

14. What are the ages that the measles mumps and rubella vaccine administered
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years

15. What are the first generation anti depressants
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

16. What's the difference between CMP and BMP
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)

17. What is the max creatinine clearance level for metformin
1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurogen (Filgastim)

18. Name the fibric acids
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

19. What are the 3rd generation heterocyclic Anti depressants
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

20. What are the ages for the inactivated poliovirus
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

21. What is Pradaxa
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

22. What is the duration action of intermediate acting benzo's
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zanaflex (tizanidine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

23. What can be used to improve memory
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

24. IBS
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
10-20 hours
Nomanda (memantine) Exelon (Rivastigmine)

25. Erythematous Nodosum
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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
SSRI's

26. What can be used for BPH
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Proscar (finasteride)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

27. High blood pressure
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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

28. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flagyl (Metronidazole)

29. What is an FDA approved prescription weight loss drug
SSRI's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tessalon (benzonate)

30. Withdrawal symptoms
Zofran (Ondansetron) Reglam (metoclopromide)
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vistaril (hydroxyzine)

31. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics

32. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

33. What are some options for pain control
Tetracycline Doxycycline Demeclocycline Minocycline
SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

34. What are the 2 month pediatric vaccines
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)

35. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Flecanide. Not to be used with LV insufficiency
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)

36. What can be used to treat ADHD
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)

37. Name the intermediate acting benzodiazepines
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
STOP THE METFORMIN

38. What can be used for cough suppression
Tessalon (benzonate)
Provigil (modafinil)
Pregabalin
Tetracycline Doxycycline Demeclocycline Minocycline

39. What are some causes of pitting edema
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Vyvanse (lisdexamphetamine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

40. What is the first line treatment for depression

41. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)

42. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
1. 12-24 months 2. 6-18 months after initial dose

43. Name the tetracyclines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)

44. What are the effects of the bile acid sequestrants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pregabalin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

45. Name the aminoglycoside
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's

46. What are the effects of nicotinic acid
Pregabalin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

47. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vyvanse (lisdexamphetamine)
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)

48. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Neurogen (Filgastim)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin

49. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

50. What is the benefit of Welchol
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Nomanda (memantine) Exelon (Rivastigmine)