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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 effects of nicotinic acid
SSRI's
Zofran (Ondansetron) Reglam (metoclopromide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

2. What are the ages for the pneumococcal vaccine
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

3. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Statins (18-55% reduction)
Tessalon (benzonate)
Zanaflex (tizanidine)

4. Name the short acting benzodiazepines
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tetracycline Doxycycline Demeclocycline Minocycline

5. What are the effects of fibric acids
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate

6. Drug addiction and withdrawal
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Suboxone (Buprenorphine)
10-20 hours
Dolgic (Acetamenaphen + butabital)

7. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
Flecanide. Not to be used with LV insufficiency

8. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
STOP THE METFORMIN
Proscar (finasteride)
1. 12-15 months 2. 4-6 years

9. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Proscar (finasteride)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flecanide. Not to be used with LV insufficiency

10. What are some options for pain control
Trazodone (Desyrel) Buproprion (Wellbutrin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

11. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)
1. 12-24 months 2. 6-18 months after initial dose
Ibutilide (IV Only). It prolongs repolarization and the QT interval

12. Withdrawal symptoms
Provigil (modafinil)
Zofran (Ondansetron) Reglam (metoclopromide)
Vistaril (hydroxyzine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

13. How do you treat low magnesium and low potassium in the hospital setting
Trazodone (Desyrel) Buproprion (Wellbutrin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

14. What is the effect of the statins
Proscar (finasteride)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

15. What is the duration of short acting benzo's
Flagyl (Metronidazole)
2-8 hours
10-20 hours
1. 12-24 months 2. 6-18 months after initial dose

16. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

17. What can be used to treat ADHD
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 months 3. 6-18 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)

18. name a central acting muscle relaxant
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zanaflex (tizanidine)

19. What is the max creatinine clearance level for metformin
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1.5

20. What is the duration action of intermediate acting benzo's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours

21. What is Pradaxa
Tessalon (benzonate)
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline

22. What ages are the Hep B vaccine given
1. 12-24 months 2. 6-18 months after initial dose
SSRI's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Birth 2. 1-2 months 3. 6-18 months

23. What are the 2nd generation heterocyclic Anti depressants
Dolgic (Acetamenaphen + butabital)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Trazodone (Desyrel) Buproprion (Wellbutrin)

24. 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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pregabalin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

25. What can be used to increase WBC counts
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)

26. Name the long acting benzodiazepines
2-8 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline

27. What is a severe side effect of metformin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

28. name the SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

29. What are the ages for the Hib vaccine
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

30. What's the difference between CMP and BMP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

31. What needs to be considered when treating a patient long term with lasics
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vyvanse (lisdexamphetamine)

32. What are the 2 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose

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

34. What can be used for nausea
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. DTaP 2. PCV
STOP THE METFORMIN
Zofran (Ondansetron) Reglam (metoclopromide)

35. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

36. What is used to clean ears
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months
STOP THE METFORMIN

37. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1.5
Gemofibrozil Fenofibrate Clofibrate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

38. What can be used to prevent coagulation
Trazodone (Desyrel) Buproprion (Wellbutrin)
Provigil (modafinil)
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
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

39. Name the aminoglycoside
Vistaril (hydroxyzine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Gemofibrozil Fenofibrate Clofibrate

40. IBS
Vyvanse (lisdexamphetamine)
2-8 hours
Dannitol (Phenobarbital +Atropine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

41. What drug can be used to cardiovert AF of short duration
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vistaril (hydroxyzine)
1.5
Flecanide. Not to be used with LV insufficiency

42. What are some causes of pitting edema
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

43. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
Flecanide. Not to be used with LV insufficiency
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. What are anticoagulation treatment options
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

45. What are the 4 month pediatric vaccines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

46. What can be used to treat against C-difference in addition to parasites and other bacteria.
Erythromycin Clarithromycin Azithromycin
Flagyl (Metronidazole)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

47. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Pregabalin
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)

48. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV
Zanaflex (tizanidine)
Flagyl (Metronidazole)

49. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

50. What are the 3rd generation heterocyclic Anti depressants
Debrox (carbamide peroxide)
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate