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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. Neuropathic Pain management
Suboxone (Buprenorphine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)

2. What are the 2nd generation heterocyclic Anti depressants
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

3. Name the long acting benzodiazepines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine

4. Name the tetracyclines
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

5. What is used to clean ears
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Debrox (carbamide peroxide)
Gemofibrozil Fenofibrate Clofibrate

6. What ages are the Rotavirus vaccine given
2 months 4 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

7. Treatment for pre-diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

8. What are the 4 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

9. What ages are the Hep B vaccine given
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 months 3. 6-18 months
1. DTaP 2. PCV
Suboxone (Buprenorphine)

10. What are the 2 month pediatric vaccines
Suboxone (Buprenorphine)
SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

11. Erythematous Nodosum
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

12. What is Pradaxa
Neurontin (gabapentin) Lyrica (Pregabalin)
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

13. Name the fibric acids
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate

14. What can be used for cough suppression
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vyvanse (lisdexamphetamine)

15. What are the effects of nicotinic acid
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Suboxone (Buprenorphine)

16. Name the macrolides
Tessalon (benzonate)
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Gemofibrozil Fenofibrate Clofibrate

17. What is a severe side effect of metformin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vistaril (hydroxyzine)
Tricyclics

18. High blood pressure
Erythromycin Clarithromycin Azithromycin
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

19. What are anticoagulation treatment options
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
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

20. What are the ages for the pneumococcal vaccine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

21. What drug can be used to cardiovert AF of short duration
Nomanda (memantine) Exelon (Rivastigmine)
Gemofibrozil Fenofibrate Clofibrate
Suboxone (Buprenorphine)
Flecanide. Not to be used with LV insufficiency

22. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)
Nomanda (memantine) Exelon (Rivastigmine)

24. name the SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flecanide. Not to be used with LV insufficiency

25. What's the difference between CMP and BMP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

26. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Tessalon (benzonate)
Debrox (carbamide peroxide)
Tricyclics

27. How do you treat low magnesium and low potassium in the hospital setting
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
Suboxone (Buprenorphine)
STOP THE METFORMIN

28. What are the effects of fibric acids
Vyvanse (lisdexamphetamine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

29. What are the ages that the measles mumps and rubella vaccine administered
Nomanda (memantine) Exelon (Rivastigmine)
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-15 months 2. 4-6 years

30. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

31. IBS
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

32. What are some options for pain control
Statins (18-55% reduction)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1.5
Tessalon (benzonate)

33. What class of drugs will lower LDL the most
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Statins (18-55% reduction)

34. Name the bile acid sequestrants
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
Cholestyramine Colestipol Colesevalam

35. What are the 3rd generation heterocyclic Anti depressants
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

37. What ages the are the DTaP vaccine given
Temazepam (Reston) Lorazepam (Ativan)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zanaflex (tizanidine)

38. What can be used to prevent coagulation
2 months 4 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
10-20 hours

39. When should the varicella virus vaccine be administered
Pregabalin
SSRI's
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

40. What are the ages for the Hib vaccine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

41. What is the max creatinine clearance level for metformin
1.5
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)

42. What drug is used to tx narcolepsy
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Provigil (modafinil)

43. What is the duration of short acting benzo's
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

44. When should the HEP A vaccine be administered
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
Suboxone (Buprenorphine)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

45. What can be used to increase WBC counts
Pregabalin
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)

46. Withdrawal symptoms
Vistaril (hydroxyzine)
Statins (18-55% reduction)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

47. What needs to be considered when treating a patient long term with lasics
Tetracycline Doxycycline Demeclocycline Minocycline
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

48. Name the statins
Zanaflex (tizanidine)
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

49. Name the aminoglycoside
Zanaflex (tizanidine)
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

50. What is an FDA approved prescription weight loss drug
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin