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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. Treatment for pre-diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Statins (18-55% reduction)

2. What are the ages for the Hib vaccine
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. DTaP 2. PCV

3. What drug can be used for cardioversion with structural heart disease
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

4. What can be used to treat ADHD
Neurogen (Filgastim)
Vyvanse (lisdexamphetamine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)

5. What are some causes of pitting edema
Neurontin (gabapentin) Lyrica (Pregabalin)
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

6. What are the first generation anti depressants
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tricyclics
1. Birth 2. 1-2 months 3. 6-18 months

7. Name the statins
Neurogen (Filgastim)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

8. What are the effects of fibric acids
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Vistaril (hydroxyzine)

9. Name the long acting benzodiazepines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

10. What are the effects of nicotinic acid
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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

11. name a central acting muscle relaxant
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zanaflex (tizanidine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

12. What is an FDA approved prescription weight loss drug
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

13. What are the ages that the measles mumps and rubella vaccine administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
10-20 hours

14. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Pregabalin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

15. What can be used to treat against C-difference in addition to parasites and other bacteria.
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. DTaP 2. PCV
Flagyl (Metronidazole)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

16. What is the first line treatment for depression

17. What ages are the Rotavirus vaccine given
2 months 4 months
2-8 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tessalon (benzonate)

18. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

19. What can be used to relax muscles associated with tension head aches
2-8 hours
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dolgic (Acetamenaphen + butabital)

20. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

21. Erythematous Nodosum
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dolgic (Acetamenaphen + butabital)

22. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

23. 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
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

24. Name the short acting benzodiazepines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

25. When should the varicella virus vaccine be administered
2 months 4 months
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Cholestyramine Colestipol Colesevalam

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

27. Pediatric Hepatitis vaccinations should be given when?
Pregabalin
SSRI's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tessalon (benzonate)

28. What is the benefit of Welchol
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

29. What needs to be considered when treating a patient long term with lasics
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
2-8 hours

30. What can be used for BPH
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

31. What is the duration of short acting benzo's
2 months 4 months
Tessalon (benzonate)
2-8 hours
1. 2 months 2. 4 months 3. 12-15 months

32. When should the HEP A vaccine be administered
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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
Temazepam (Reston) Lorazepam (Ativan)

33. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN

34. name the SSRI's
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

35. What is the effect of the statins
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

36. What are the ages for the inactivated poliovirus
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
STOP THE METFORMIN

37. What are the 2 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

38. What ages the are the DTaP vaccine given
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

39. What can be used to improve memory
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 months 3. 6-18 months
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

40. What are the effects of the bile acid sequestrants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

41. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

42. What drug is used to tx narcolepsy
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

43. High blood pressure
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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

44. Name the aminoglycoside
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 months 4 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

45. What can be used to increase WBC counts
2 months 4 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)
Tricyclics

46. What can be used for cough suppression
Statins (18-55% reduction)
Gemofibrozil Fenofibrate Clofibrate
Tessalon (benzonate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

47. Name the macrolides
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

48. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
SSRI's
Pregabalin

49. What is used to clean ears
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Debrox (carbamide peroxide)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-24 months 2. 6-18 months after initial dose

50. What are the 4 month pediatric vaccines
Suboxone (Buprenorphine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin