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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. 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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)

2. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)
Dannitol (Phenobarbital +Atropine)

3. What needs to be considered when treating a patient long term with lasics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

4. What are the ages for the Hib vaccine
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months
10-20 hours

5. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

6. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam

7. What are the ages for the pneumococcal vaccine
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)

8. Withdrawal symptoms
Vistaril (hydroxyzine)
Provigil (modafinil)
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

9. What class of drugs will lower LDL the most
Statins (18-55% reduction)
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics

10. What are the 3rd generation heterocyclic Anti depressants
2-8 hours
10-20 hours
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. name a central acting muscle relaxant
Vistaril (hydroxyzine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)

12. Treatment for pre-diabetes
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

13. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months
Flagyl (Metronidazole)

14. name the SSRI's
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
10-20 hours
Flecanide. Not to be used with LV insufficiency
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

15. What are the ages for the inactivated poliovirus
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2-8 hours
Dolgic (Acetamenaphen + butabital)

16. How do you treat low magnesium and low potassium in the hospital setting
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tessalon (benzonate)

17. What can be used to increase WBC counts
Neurogen (Filgastim)
2 months 4 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years

18. Name the fibric acids
Suboxone (Buprenorphine)
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%)

19. What are the effects of the bile acid sequestrants
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
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

20. What is the first line treatment for depression

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21. What drug can be used for cardioversion with structural heart disease
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 months 3. 6-18 months

22. What can be used for BPH
Proscar (finasteride)
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin

23. Name the aminoglycoside
1.5
Neurogen (Filgastim)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Suboxone (Buprenorphine)

24. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)

25. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

26. What is the benefit of Welchol
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Proscar (finasteride)

27. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Gemofibrozil Fenofibrate Clofibrate

28. Problems with welchol and diabetes
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

29. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Cholestyramine Colestipol Colesevalam
Erythromycin Clarithromycin Azithromycin
Block serotonin and Nor epinephrine

30. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dannitol (Phenobarbital +Atropine)

31. What drug is used to tx narcolepsy
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

32. What can be used to improve memory
Neurontin (gabapentin) Lyrica (Pregabalin)
Nomanda (memantine) Exelon (Rivastigmine)
Dannitol (Phenobarbital +Atropine)
Suboxone (Buprenorphine)

33. What can be used to treat ADHD
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
STOP THE METFORMIN
Vyvanse (lisdexamphetamine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

34. Name the intermediate acting benzodiazepines
Gemofibrozil Fenofibrate Clofibrate
2 months 4 months
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

35. When should the HEP A vaccine be administered
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-24 months 2. 6-18 months after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tessalon (benzonate)

36. What is used to clean ears
Debrox (carbamide peroxide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
STOP THE METFORMIN
Neurontin (gabapentin) Lyrica (Pregabalin)

37. What is the duration action of intermediate acting benzo's
10-20 hours
1.5
Statins (18-55% reduction)
Tricyclics

38. 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
Tricyclics
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)

39. What are anticoagulation treatment options
Statins (18-55% reduction)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)

40. What can be used for nausea
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 12-15 months

41. What is the effect of the statins
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

42. What are some options for pain control
STOP THE METFORMIN
Statins (18-55% reduction)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

43. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Cholestyramine Colestipol Colesevalam
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5

44. Name the statins
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
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

45. What are the 2 month pediatric vaccines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

46. What is the duration of short acting benzo's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours
1. DTaP 2. PCV

47. What are the 2nd generation heterocyclic Anti depressants
1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
Vyvanse (lisdexamphetamine)

48. IBS
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dannitol (Phenobarbital +Atropine)
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

49. What can be used to prevent coagulation
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

50. What are the first generation anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years