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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 are the 2 month pediatric vaccines
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
Debrox (carbamide peroxide)

2. What is the duration of short acting benzo's
1. 12-24 months 2. 6-18 months after initial dose
Proscar (finasteride)
2-8 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

3. What can be used for BPH
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Proscar (finasteride)
Vyvanse (lisdexamphetamine)
2-8 hours

4. Name the intermediate acting benzodiazepines
Dannitol (Phenobarbital +Atropine)
Temazepam (Reston) Lorazepam (Ativan)
Proscar (finasteride)
Tricyclics

5. What is the first line treatment for depression

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6. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

7. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dannitol (Phenobarbital +Atropine)
Neurogen (Filgastim)

8. What ages the are the DTaP vaccine given
1.5
Suboxone (Buprenorphine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

9. What are the ages for the Hib vaccine
Dolgic (Acetamenaphen + butabital)
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 12-15 months
Erythromycin Clarithromycin Azithromycin

10. Pediatric Hepatitis vaccinations should be given when?
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

11. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

12. What are the effects of fibric acids
2-8 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flagyl (Metronidazole)
Zanaflex (tizanidine)

13. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
2-8 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

14. What is the duration action of intermediate acting benzo's
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

15. Name the tetracyclines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
Tetracycline Doxycycline Demeclocycline Minocycline

16. If a patient is on metformin and about to undergo contrast imaging - what must be done.
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
STOP THE METFORMIN

17. What are the effects of the bile acid sequestrants
Block serotonin and Nor epinephrine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zanaflex (tizanidine)

18. What drug can be used to cardiovert AF of short duration
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency

19. High blood pressure
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
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)

20. What are the 3rd generation heterocyclic Anti depressants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flecanide. Not to be used with LV insufficiency
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

21. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

22. Neuropathic Pain management
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Neurontin (gabapentin) Lyrica (Pregabalin)

23. Erythematous Nodosum
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)
Gemofibrozil Fenofibrate Clofibrate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

24. Name the statins
2-8 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

25. Name the short acting benzodiazepines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

26. What is used to clean ears
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Birth 2. 1-2 months 3. 6-18 months
Debrox (carbamide peroxide)
STOP THE METFORMIN

27. What can be used to treat ADHD
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vyvanse (lisdexamphetamine)
Tricyclics

28. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
STOP THE METFORMIN

29. Withdrawal symptoms
1. Birth 2. 1-2 months 3. 6-18 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)

30. What are the first generation anti depressants
Tricyclics
Proscar (finasteride)
SSRI's
Nomanda (memantine) Exelon (Rivastigmine)

31. What ages are the Rotavirus vaccine given
2 months 4 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)

32. What is the max creatinine clearance level for metformin
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.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5

33. name a central acting muscle relaxant
Zanaflex (tizanidine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN
Tricyclics

34. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)

35. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)
Flecanide. Not to be used with LV insufficiency

36. What can be used for nausea
Tricyclics
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

37. What are some options for pain control
Statins (18-55% reduction)
Pregabalin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine

38. What are the 2nd generation heterocyclic Anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

39. What are the ages for the inactivated poliovirus
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)

40. What can be used for cough suppression
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)
Tessalon (benzonate)

41. Drug addiction and withdrawal
Flagyl (Metronidazole)
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)

42. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

43. Name the macrolides
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Proscar (finasteride)
Erythromycin Clarithromycin Azithromycin

44. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)

45. What ages are the Hep B vaccine given
Zofran (Ondansetron) Reglam (metoclopromide)
Dannitol (Phenobarbital +Atropine)
Tessalon (benzonate)
1. Birth 2. 1-2 months 3. 6-18 months

46. How do you treat low magnesium and low potassium in the hospital setting
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

47. name the SSRI's
Flagyl (Metronidazole)
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurontin (gabapentin) Lyrica (Pregabalin)

48. Treatment for pre-diabetes
1. 12-24 months 2. 6-18 months after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

49. What is Pradaxa
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vistaril (hydroxyzine)
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

50. Problems with welchol and diabetes
Dolgic (Acetamenaphen + butabital)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM