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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 SSRI's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
Neurogen (Filgastim)

2. What is the benefit of Welchol
Dolgic (Acetamenaphen + butabital)
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

3. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)
Zanaflex (tizanidine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

4. What are the effects of the bile acid sequestrants
Gemofibrozil Fenofibrate Clofibrate
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)
Trazodone (Desyrel) Buproprion (Wellbutrin)

5. What ages are the Rotavirus vaccine given
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
10-20 hours
Cholestyramine Colestipol Colesevalam
2 months 4 months

6. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin
1. 12-15 months 2. 4-6 years
Proscar (finasteride)

7. What are the ages for the Hib vaccine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months

8. What are the 4 month pediatric vaccines
STOP THE METFORMIN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

9. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
1. 12-15 months 2. 4-6 years

10. Name the aminoglycoside
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 12-15 months

11. 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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

12. What are the ages for the pneumococcal vaccine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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%)

13. Drug addiction and withdrawal
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Debrox (carbamide peroxide)
Suboxone (Buprenorphine)

14. What is the first line treatment for depression

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15. What is Pradaxa
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Cholestyramine Colestipol Colesevalam
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
STOP THE METFORMIN

16. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

17. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tricyclics
1.5

18. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. DTaP 2. PCV
Pregabalin
Provigil (modafinil)

19. What's the difference between CMP and BMP
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tessalon (benzonate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

20. What can be used for nausea
2-8 hours
Neurontin (gabapentin) Lyrica (Pregabalin)
Zofran (Ondansetron) Reglam (metoclopromide)
Temazepam (Reston) Lorazepam (Ativan)

21. What are the effects of fibric acids
Proscar (finasteride)
1. DTaP 2. PCV
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)

22. High blood pressure
Neurogen (Filgastim)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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

23. What is a severe side effect of metformin
SSRI's
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

24. Name the macrolides
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)
Erythromycin Clarithromycin Azithromycin

25. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics

26. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
Cholestyramine Colestipol Colesevalam

27. What is the duration action of intermediate acting benzo's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)
Vyvanse (lisdexamphetamine)
10-20 hours

28. What ages are the Hep B vaccine given
Tetracycline Doxycycline Demeclocycline Minocycline
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Birth 2. 1-2 months 3. 6-18 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

29. What is an FDA approved prescription weight loss drug
Proscar (finasteride)
Zanaflex (tizanidine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

30. What class of drugs will lower LDL the most
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
Proscar (finasteride)

31. Name the short acting benzodiazepines
Tessalon (benzonate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

32. Withdrawal symptoms
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

33. Name the bile acid sequestrants
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam
Vistaril (hydroxyzine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

34. What is the duration of short acting benzo's
Gemofibrozil Fenofibrate Clofibrate
Neurogen (Filgastim)
Provigil (modafinil)
2-8 hours

35. What are the effects of nicotinic acid
1. Birth 2. 1-2 months 3. 6-18 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
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 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

36. Name the tetracyclines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline
Vistaril (hydroxyzine)

37. What is the effect of the statins
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate

38. What can be used for cough suppression
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

39. How do you treat low magnesium and low potassium in the hospital setting
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

40. What drug is used to tx narcolepsy
2-8 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Provigil (modafinil)
1. 12-15 months 2. 4-6 years

41. What can be used to improve memory
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vistaril (hydroxyzine)
Nomanda (memantine) Exelon (Rivastigmine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

42. What are the ages for the inactivated poliovirus
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

43. What are the first generation anti depressants
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tricyclics

44. What are some causes of pitting edema
Proscar (finasteride)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics

45. What drug can be used to cardiovert AF of short duration
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flecanide. Not to be used with LV insufficiency
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

46. IBS
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)
1.5
Dannitol (Phenobarbital +Atropine)

47. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
SSRI's
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)

48. What is the max creatinine clearance level for metformin
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)

49. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

50. What can be used for BPH
Statins (18-55% reduction)
SSRI's
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months