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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 short acting benzodiazepines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

2. What is the duration action of intermediate acting benzo's
10-20 hours
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1.5

3. What are the 6 month pediatric vaccines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. DTaP 2. PCV
Trazodone (Desyrel) Buproprion (Wellbutrin)

4. What are the effects of the bile acid sequestrants
Flecanide. Not to be used with LV insufficiency
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

5. High blood pressure
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
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

6. What is the first line treatment for depression

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7. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

8. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Neurontin (gabapentin) Lyrica (Pregabalin)
STOP THE METFORMIN
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
Tetracycline Doxycycline Demeclocycline Minocycline

9. What can be used to treat against C-difference in addition to parasites and other bacteria.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flagyl (Metronidazole)

10. What is Pradaxa
Proscar (finasteride)
SSRI's
1. 12-15 months 2. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

11. What ages the are the DTaP vaccine given
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dolgic (Acetamenaphen + butabital)

12. What is a severe side effect of metformin
1. 2 months 2. 4 months 3. 12-15 months
Flagyl (Metronidazole)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

13. What are some options for pain control
Tessalon (benzonate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)

14. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Tricyclics
Block serotonin and Nor epinephrine
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

15. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

16. What are the 4 month pediatric vaccines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 months 4 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics

17. What drug can be used to cardiovert AF of short duration
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
Tetracycline Doxycycline Demeclocycline Minocycline
1. DTaP 2. PCV

18. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

19. What are the ages for the Hib vaccine
Nomanda (memantine) Exelon (Rivastigmine)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months

20. When should the HEP A vaccine be administered
10-20 hours
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
Flagyl (Metronidazole)

21. Treatment for pre-diabetes
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

22. What can be used for cough suppression
Tessalon (benzonate)
Erythromycin Clarithromycin Azithromycin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

23. Name the long acting benzodiazepines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

24. Name the tetracyclines
10-20 hours
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
Tetracycline Doxycycline Demeclocycline Minocycline
Ibutilide (IV Only). It prolongs repolarization and the QT interval

25. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 12-15 months
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. What are some causes of pitting edema
Neurogen (Filgastim)
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV

27. What are the effects of nicotinic acid
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%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

28. Problems with welchol and diabetes
Block serotonin and Nor epinephrine
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

29. Name the fibric acids
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)

30. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vistaril (hydroxyzine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dolgic (Acetamenaphen + butabital)

31. What is the benefit of Welchol
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurontin (gabapentin) Lyrica (Pregabalin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

32. What can be used to increase WBC counts
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
STOP THE METFORMIN

33. What drug is used to tx narcolepsy
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

34. Withdrawal symptoms
Suboxone (Buprenorphine)
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. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)

35. What can be used for BPH
10-20 hours
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zanaflex (tizanidine)

37. name the SSRI's
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

38. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
Proscar (finasteride)

39. name a central acting muscle relaxant
1. DTaP 2. PCV
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

40. What class of drugs will lower LDL the most
Cholestyramine Colestipol Colesevalam
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)

41. What is the effect of the statins
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2-8 hours
Neurogen (Filgastim)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

42. What is the duration of short acting benzo's
Tricyclics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2-8 hours

43. What are the 2 month pediatric vaccines
Proscar (finasteride)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. What ages are the Rotavirus vaccine given
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 months 4 months

45. What can be used to treat ADHD
Proscar (finasteride)
Flecanide. Not to be used with LV insufficiency
Vistaril (hydroxyzine)
Vyvanse (lisdexamphetamine)

46. Name the statins
Pregabalin
Tessalon (benzonate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

47. What can be used to improve memory
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)

48. IBS
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

49. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)
Tricyclics

50. What needs to be considered when treating a patient long term with lasics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vyvanse (lisdexamphetamine)