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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. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
STOP THE METFORMIN
1. DTaP 2. PCV
2-8 hours

2. Name the macrolides
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months

3. What's the difference between CMP and BMP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

4. High blood pressure
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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)
Gemofibrozil Fenofibrate Clofibrate

5. How do you treat low magnesium and low potassium in the hospital setting
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vyvanse (lisdexamphetamine)
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

6. What are the ages for the pneumococcal vaccine
STOP THE METFORMIN
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)

7. What drug can be used to cardiovert AF of short duration
SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)
Flecanide. Not to be used with LV insufficiency

8. Problems with welchol and diabetes
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

9. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zanaflex (tizanidine)

10. What are the effects of nicotinic acid
Provigil (modafinil)
Tricyclics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)

11. name the SSRI's
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

12. IBS
Flagyl (Metronidazole)
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

13. What can be used to increase WBC counts
Neurogen (Filgastim)
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Provigil (modafinil)

14. What are the effects of fibric acids
Neurontin (gabapentin) Lyrica (Pregabalin)
SSRI's
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline

15. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)

16. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
A CMP is a BMP (kidney - electrolytes) PLUS liver function

17. What are the 2 month pediatric vaccines
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

18. Name the intermediate acting benzodiazepines
Suboxone (Buprenorphine)
Flagyl (Metronidazole)
Tessalon (benzonate)
Temazepam (Reston) Lorazepam (Ativan)

19. What can be used for cough suppression
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Tessalon (benzonate)

20. What are the ages for the inactivated poliovirus
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dolgic (Acetamenaphen + butabital)
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

21. Neuropathic Pain management
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)

22. Withdrawal symptoms
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)
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
STOP THE METFORMIN

23. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months
Tricyclics
A CMP is a BMP (kidney - electrolytes) PLUS liver function

24. What are the 2nd generation heterocyclic Anti depressants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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
Trazodone (Desyrel) Buproprion (Wellbutrin)

25. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
Pregabalin

26. What drug is used to tx narcolepsy
Erythromycin Clarithromycin Azithromycin
2 months 4 months
Provigil (modafinil)
Flagyl (Metronidazole)

27. What is the effect of the statins
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Temazepam (Reston) Lorazepam (Ativan)

28. Name the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)

29. What is the first line treatment for depression

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30. name a central acting muscle relaxant
Erythromycin Clarithromycin Azithromycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zanaflex (tizanidine)

31. What can be used to treat ADHD
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vistaril (hydroxyzine)
Vyvanse (lisdexamphetamine)

32. Erythematous Nodosum
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pregabalin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Temazepam (Reston) Lorazepam (Ativan)

33. What are the 6 month pediatric vaccines
2-8 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV
Zanaflex (tizanidine)

34. What is used to clean ears
Debrox (carbamide peroxide)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

35. What class of drugs will lower LDL the most
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tricyclics
Statins (18-55% reduction)
2 months 4 months

36. What is the benefit of Welchol
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zanaflex (tizanidine)

37. What are the first generation anti depressants
1. 12-24 months 2. 6-18 months after initial dose
Dannitol (Phenobarbital +Atropine)
Vyvanse (lisdexamphetamine)
Tricyclics

38. Drug addiction and withdrawal
1. 2 months 2. 4 months 3. 12-15 months
Suboxone (Buprenorphine)
Tessalon (benzonate)
Cholestyramine Colestipol Colesevalam

39. What ages are the Rotavirus vaccine given
Tessalon (benzonate)
10-20 hours
2 months 4 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval

40. 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
Vistaril (hydroxyzine)
Vyvanse (lisdexamphetamine)
Provigil (modafinil)

41. What is Pradaxa
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

42. What is the max creatinine clearance level for metformin
Neurogen (Filgastim)
1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tessalon (benzonate)

43. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

44. Name the tetracyclines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline

45. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zofran (Ondansetron) Reglam (metoclopromide)
Dolgic (Acetamenaphen + butabital)

46. What needs to be considered when treating a patient long term with lasics
SSRI's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

47. What can be used to relax muscles associated with tension head aches
Flecanide. Not to be used with LV insufficiency
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

48. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zanaflex (tizanidine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)

49. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
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
Neurogen (Filgastim)

50. What are the 3rd generation heterocyclic Anti depressants
Provigil (modafinil)
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline