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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 the bile acid sequestrants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1.5
Flagyl (Metronidazole)

2. What are the ages for the inactivated poliovirus
Pregabalin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

3. What are the 2nd generation heterocyclic Anti depressants
Neurontin (gabapentin) Lyrica (Pregabalin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurogen (Filgastim)

4. Name the statins
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

5. What are the 2 month pediatric vaccines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

6. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

7. What are anticoagulation treatment options
Debrox (carbamide peroxide)
2-8 hours
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

8. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

9. What are the effects of nicotinic acid
Dolgic (Acetamenaphen + butabital)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

10. When should the HEP A vaccine be administered
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose

11. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 12-15 months
STOP THE METFORMIN

12. What can be used for cough suppression
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

13. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

14. What can be used to treat ADHD
Nomanda (memantine) Exelon (Rivastigmine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vyvanse (lisdexamphetamine)
1.5

15. What is the first line treatment for depression

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16. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months

17. Problems with welchol and diabetes
Proscar (finasteride)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dannitol (Phenobarbital +Atropine)

18. If a patient is on metformin and about to undergo contrast imaging - what must be done.
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Proscar (finasteride)
STOP THE METFORMIN

19. What are some causes of pitting edema
Vyvanse (lisdexamphetamine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

20. Drug addiction and withdrawal
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

21. Withdrawal symptoms
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam
Flecanide. Not to be used with LV insufficiency
Vistaril (hydroxyzine)

22. What is used to clean ears
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tessalon (benzonate)

23. High blood pressure
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
Proscar (finasteride)
Gemofibrozil Fenofibrate Clofibrate
1.5

24. What ages are the Rotavirus vaccine given
Debrox (carbamide peroxide)
2 months 4 months
Vyvanse (lisdexamphetamine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

25. What can be used to relax muscles associated with tension head aches
Zanaflex (tizanidine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 months 3. 6-18 months

26. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Flecanide. Not to be used with LV insufficiency
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months

27. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)

28. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Proscar (finasteride)

29. What are the first generation anti depressants
1. 12-15 months 2. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Provigil (modafinil)
Tricyclics

30. Name the short acting benzodiazepines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

31. name a central acting muscle relaxant
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
Zanaflex (tizanidine)

32. What are the effects of fibric acids
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

33. What can be used to increase WBC counts
Neurogen (Filgastim)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
10-20 hours
Zanaflex (tizanidine)

34. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

35. What is the duration action of intermediate acting benzo's
10-20 hours
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Statins (18-55% reduction)

36. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)

37. What are the 4 month pediatric vaccines
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

38. Pediatric Hepatitis vaccinations should be given when?
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

39. What is the benefit of Welchol
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)

40. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

41. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

42. What can be used for nausea
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zofran (Ondansetron) Reglam (metoclopromide)

43. What ages are the Hep B vaccine given
Zanaflex (tizanidine)
2-8 hours
1. Birth 2. 1-2 months 3. 6-18 months
Gemofibrozil Fenofibrate Clofibrate

44. What is the max creatinine clearance level for metformin
2 months 4 months
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1.5

45. What are the 6 month pediatric vaccines
Neurogen (Filgastim)
Temazepam (Reston) Lorazepam (Ativan)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. DTaP 2. PCV

46. What is the effect of the statins
Vistaril (hydroxyzine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
10-20 hours
2 months 4 months

47. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)

48. 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
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

49. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Temazepam (Reston) Lorazepam (Ativan)
Debrox (carbamide peroxide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

50. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency

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