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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 anticoagulation treatment options
Statins (18-55% reduction)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Birth 2. 1-2 months 3. 6-18 months
Tessalon (benzonate)

2. When should the varicella virus vaccine be administered
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years

3. Name the short acting benzodiazepines
Proscar (finasteride)
Zofran (Ondansetron) Reglam (metoclopromide)
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)

4. Treatment for pre-diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

5. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Vyvanse (lisdexamphetamine)
1.5
Vistaril (hydroxyzine)

6. IBS
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dannitol (Phenobarbital +Atropine)

7. What are the ages that the measles mumps and rubella vaccine administered
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

8. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 months 4 months

9. What class of drugs will lower LDL the most
1.5
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Statins (18-55% reduction)

10. Problems with welchol and diabetes
Dolgic (Acetamenaphen + butabital)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

11. Withdrawal symptoms
2-8 hours
Provigil (modafinil)
Temazepam (Reston) Lorazepam (Ativan)
Vistaril (hydroxyzine)

12. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tetracycline Doxycycline Demeclocycline Minocycline

13. What ages are the Rotavirus vaccine given
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function

14. What are the ages for the Hib vaccine
1. Birth 2. 1-2 months 3. 6-18 months
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

15. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zofran (Ondansetron) Reglam (metoclopromide)
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

16. Name the fibric acids
1. Birth 2. 1-2 months 3. 6-18 months
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

17. Name the aminoglycoside
SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

18. What is the max creatinine clearance level for metformin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
SSRI's
1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

19. What drug can be used to cardiovert AF of short duration
10-20 hours
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
Flecanide. Not to be used with LV insufficiency
Tetracycline Doxycycline Demeclocycline Minocycline

20. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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
Neurontin (gabapentin) Lyrica (Pregabalin)

21. What are some options for pain control
Proscar (finasteride)
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
1. Birth 2. 1-2 months 3. 6-18 months

22. What are the effects of the bile acid sequestrants
Dannitol (Phenobarbital +Atropine)
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

23. Erythematous Nodosum
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. What is the duration of short acting benzo's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2-8 hours

25. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 12-15 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Block serotonin and Nor epinephrine

27. What's the difference between CMP and BMP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2-8 hours
Vistaril (hydroxyzine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

28. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

29. What are the 3rd generation heterocyclic Anti depressants
Tessalon (benzonate)
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
Provigil (modafinil)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

30. What is used to clean ears
1. 12-15 months 2. 4-6 years
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
1. 12-24 months 2. 6-18 months after initial dose
Debrox (carbamide peroxide)

31. What can be used to treat ADHD
Tessalon (benzonate)
Vyvanse (lisdexamphetamine)
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)

32. name a central acting muscle relaxant
Erythromycin Clarithromycin Azithromycin
Temazepam (Reston) Lorazepam (Ativan)
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)

33. What can be used for BPH
Gemofibrozil Fenofibrate Clofibrate
Proscar (finasteride)
Flecanide. Not to be used with LV insufficiency
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

34. What are the 2 month pediatric vaccines
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

35. What can be used to increase WBC counts
Neurogen (Filgastim)
Temazepam (Reston) Lorazepam (Ativan)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

36. What is the effect of the statins
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

37. Name the macrolides
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin

38. What can be used for cough suppression
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

39. What is the duration action of intermediate acting benzo's
10-20 hours
Dolgic (Acetamenaphen + butabital)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function

40. name the SSRI's
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

41. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Statins (18-55% reduction)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)

42. What is a severe side effect of metformin
Zofran (Ondansetron) Reglam (metoclopromide)
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
Flecanide. Not to be used with LV insufficiency

43. 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
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Zanaflex (tizanidine)

44. What drug can be used for cardioversion with structural heart disease
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flagyl (Metronidazole)
Nomanda (memantine) Exelon (Rivastigmine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

45. What are the first generation anti depressants
Erythromycin Clarithromycin Azithromycin
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months
STOP THE METFORMIN

46. What is Pradaxa
1. 2 months 2. 4 months 3. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function

47. What is an FDA approved prescription weight loss drug
Statins (18-55% reduction)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

48. High blood pressure
Zanaflex (tizanidine)
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
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

49. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Pregabalin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

50. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 months 4 months
Nomanda (memantine) Exelon (Rivastigmine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)