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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. Name the long acting benzodiazepines
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics

2. What are some options for pain control
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

3. Problems with welchol and diabetes
10-20 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

4. What can be used to improve memory
Dolgic (Acetamenaphen + butabital)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Nomanda (memantine) Exelon (Rivastigmine)
1. DTaP 2. PCV

5. What needs to be considered when treating a patient long term with lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

6. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

7. What are the 6 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 months 4 months
1. DTaP 2. PCV
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

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

9. Name the bile acid sequestrants
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam

10. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. Neuropathic Pain management
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurontin (gabapentin) Lyrica (Pregabalin)
Neurogen (Filgastim)

12. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

13. What class of drugs will lower LDL the most
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Statins (18-55% reduction)
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)

14. Name the tetracyclines
Cholestyramine Colestipol Colesevalam
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

15. What are the 2 month pediatric vaccines
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

16. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dannitol (Phenobarbital +Atropine)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

17. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tessalon (benzonate)
Statins (18-55% reduction)

18. What drug can be used for cardioversion with structural heart disease
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval
STOP THE METFORMIN

19. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tessalon (benzonate)

20. What can be used for cough suppression
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
Dolgic (Acetamenaphen + butabital)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tessalon (benzonate)

21. What can be used to treat ADHD
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Suboxone (Buprenorphine)

22. What can be used to relax muscles associated with tension head aches
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

23. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

24. Name the short acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Flecanide. Not to be used with LV insufficiency
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

25. What is the first line treatment for depression

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26. What can be used to increase WBC counts
Neurogen (Filgastim)
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

27. How do you treat low magnesium and low potassium in the hospital setting
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tessalon (benzonate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

28. Name the macrolides
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Erythromycin Clarithromycin Azithromycin
Pregabalin
1. Birth 2. 1-2 months 3. 6-18 months

29. Withdrawal symptoms
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vistaril (hydroxyzine)
Block serotonin and Nor epinephrine
Dolgic (Acetamenaphen + butabital)

30. What can be used for nausea
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)

31. What are the effects of nicotinic acid
STOP THE METFORMIN
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

32. Erythematous Nodosum
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tricyclics
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

33. 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%)
Neurogen (Filgastim)
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

34. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Erythromycin Clarithromycin Azithromycin
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

35. Drug addiction and withdrawal
Suboxone (Buprenorphine)
1. 12-24 months 2. 6-18 months after initial dose
1.5
Zofran (Ondansetron) Reglam (metoclopromide)

36. What are the effects of the bile acid sequestrants
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

37. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1.5
STOP THE METFORMIN
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)

38. What are the 4 month pediatric vaccines
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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

39. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

40. Pediatric Hepatitis vaccinations should be given when?
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
Tricyclics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

41. What can be used to treat against C-difference in addition to parasites and other bacteria.
1.5
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)
2 months 4 months

42. When should the HEP A vaccine be administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

43. What is the max creatinine clearance level for metformin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1.5
Erythromycin Clarithromycin Azithromycin

44. What is an FDA approved prescription weight loss drug
Tetracycline Doxycycline Demeclocycline Minocycline
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurogen (Filgastim)

45. What is used to clean ears
Debrox (carbamide peroxide)
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Pregabalin

46. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Trazodone (Desyrel) Buproprion (Wellbutrin)

47. What ages are the Hep B vaccine given
SSRI's
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

48. IBS
Dannitol (Phenobarbital +Atropine)
1. DTaP 2. PCV
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

49. What's the difference between CMP and BMP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Gemofibrozil Fenofibrate Clofibrate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

50. What are the first generation anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tricyclics