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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. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Proscar (finasteride)
Gemofibrozil Fenofibrate Clofibrate

2. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vyvanse (lisdexamphetamine)
SSRI's
1. DTaP 2. PCV

3. What drug is used to tx narcolepsy
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

4. Treatment for pre-diabetes
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tetracycline Doxycycline Demeclocycline Minocycline

5. Problems with welchol and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

6. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. 12-24 months 2. 6-18 months after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

7. What can be used to improve memory
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Nomanda (memantine) Exelon (Rivastigmine)

8. What is the max creatinine clearance level for metformin
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
1.5

9. What is the duration action of intermediate acting benzo's
10-20 hours
1. 2 months 2. 4 months 3. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

10. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Erythromycin Clarithromycin Azithromycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

11. Name the intermediate acting benzodiazepines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dannitol (Phenobarbital +Atropine)
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

12. What are the ages for the inactivated poliovirus
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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

13. When should the varicella virus vaccine be administered
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years

14. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
STOP THE METFORMIN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

15. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zanaflex (tizanidine)
Block serotonin and Nor epinephrine

16. name a central acting muscle relaxant
Zanaflex (tizanidine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

17. Name the long acting benzodiazepines
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

18. What are the effects of fibric acids
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

19. Name the statins
Flecanide. Not to be used with LV insufficiency
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Debrox (carbamide peroxide)

20. Name the bile acid sequestrants
1.5
Neurogen (Filgastim)
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam

21. 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)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)

22. What are the ages that the measles mumps and rubella vaccine administered
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years

23. What are the effects of nicotinic acid
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. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Temazepam (Reston) Lorazepam (Ativan)

24. Name the macrolides
Vistaril (hydroxyzine)
Nomanda (memantine) Exelon (Rivastigmine)
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN

25. 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
Dannitol (Phenobarbital +Atropine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. What are anticoagulation treatment options
Dannitol (Phenobarbital +Atropine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

27. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Cholestyramine Colestipol Colesevalam
Zofran (Ondansetron) Reglam (metoclopromide)

28. What is Pradaxa
Pregabalin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tessalon (benzonate)

29. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

30. What can be used to increase WBC counts
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)

31. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

32. What can be used for cough suppression
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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
Tessalon (benzonate)

33. Withdrawal symptoms
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vistaril (hydroxyzine)

34. 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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

35. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)

36. What are some causes of pitting edema
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

37. What ages are the Rotavirus vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN
2 months 4 months

38. What is a severe side effect of metformin
Tricyclics
Zanaflex (tizanidine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

39. What can be used for BPH
Proscar (finasteride)
Pregabalin
Flagyl (Metronidazole)
1.5

40. What can be used for nausea
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

41. What are the 6 month pediatric vaccines
1.5
1. DTaP 2. PCV
Tetracycline Doxycycline Demeclocycline Minocycline
2 months 4 months

42. Name the tetracyclines
Pregabalin
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

43. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Proscar (finasteride)
Neurogen (Filgastim)
STOP THE METFORMIN

44. What are the first generation anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tricyclics
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

45. Drug addiction and withdrawal
Temazepam (Reston) Lorazepam (Ativan)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Suboxone (Buprenorphine)
Tessalon (benzonate)

46. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)

47. What is the first line treatment for depression

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48. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
2 months 4 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Provigil (modafinil)

49. What is used to clean ears
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Debrox (carbamide peroxide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

50. What can be used to treat ADHD
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vyvanse (lisdexamphetamine)