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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. What is the max creatinine clearance level for metformin
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose
1.5
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

2. What drug is used to tx narcolepsy
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

3. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

4. What needs to be considered when treating a patient long term with lasics
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN
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

5. What are the first generation anti depressants
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

6. What are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flecanide. Not to be used with LV insufficiency

7. What can be used to increase WBC counts
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

8. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

9. What are the 2 month pediatric vaccines
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Suboxone (Buprenorphine)
Dolgic (Acetamenaphen + butabital)

10. What can be used to relax muscles associated with tension head aches
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

11. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 months 4 months

12. What ages the are the DTaP vaccine given
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

13. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 12-15 months

14. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)

15. What can be used to treat ADHD
Zanaflex (tizanidine)
Vyvanse (lisdexamphetamine)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

16. 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
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dannitol (Phenobarbital +Atropine)

17. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

18. What are the 2nd generation heterocyclic Anti depressants
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-24 months 2. 6-18 months after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
Trazodone (Desyrel) Buproprion (Wellbutrin)

19. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

20. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

21. What ages are the Rotavirus vaccine given
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.
Vistaril (hydroxyzine)
2 months 4 months

22. What is the duration of short acting benzo's
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2-8 hours

23. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Trazodone (Desyrel) Buproprion (Wellbutrin)

24. Treatment for pre-diabetes
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

25. What are the ages for the Hib vaccine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months

26. What are the 6 month pediatric vaccines
Dannitol (Phenobarbital +Atropine)
1. DTaP 2. PCV
SSRI's
Pregabalin

27. What is used to clean ears
1. DTaP 2. PCV
Debrox (carbamide peroxide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

28. 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
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. DTaP 2. PCV

29. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. DTaP 2. PCV
Block serotonin and Nor epinephrine
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

30. Pediatric Hepatitis vaccinations should be given when?
STOP THE METFORMIN
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years

31. name a central acting muscle relaxant
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zanaflex (tizanidine)

32. Erythematous Nodosum
1. 12-24 months 2. 6-18 months after initial dose
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

33. IBS
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
Zofran (Ondansetron) Reglam (metoclopromide)

34. Name the bile acid sequestrants
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam
Dannitol (Phenobarbital +Atropine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

35. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
10-20 hours
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 months 3. 6-18 months

36. What is an FDA approved prescription weight loss drug
10-20 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

37. What's the difference between CMP and BMP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Statins (18-55% reduction)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

38. High blood pressure
Debrox (carbamide peroxide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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

39. Withdrawal symptoms
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. DTaP 2. PCV
Vistaril (hydroxyzine)
Tricyclics

40. What are some options for pain control
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

41. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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

42. What can be used to improve memory
Vistaril (hydroxyzine)
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. What are the ages that the measles mumps and rubella vaccine administered
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years

44. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate

45. Problems with welchol and diabetes
Dannitol (Phenobarbital +Atropine)
Tricyclics
SSRI's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

46. What ages are the Hep B vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-24 months 2. 6-18 months after initial dose
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

47. What can be used for cough suppression
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

48. Drug addiction and withdrawal
Block serotonin and Nor epinephrine
Neurogen (Filgastim)
Pregabalin
Suboxone (Buprenorphine)

49. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tricyclics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

50. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2-8 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN