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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. 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
Gemofibrozil Fenofibrate Clofibrate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Cholestyramine Colestipol Colesevalam

2. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

3. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
Pregabalin

4. What is an FDA approved prescription weight loss drug
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dolgic (Acetamenaphen + butabital)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

5. name the SSRI's
1. DTaP 2. PCV
SSRI's
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

6. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 12-15 months
1.5

7. Treatment for pre-diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pregabalin
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

8. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. DTaP 2. PCV
10-20 hours
Proscar (finasteride)

9. What can be used to relax muscles associated with tension head aches
SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. What are the ages for the pneumococcal vaccine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

11. Name the aminoglycoside
Debrox (carbamide peroxide)
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics

12. If a patient is on metformin and about to undergo contrast imaging - what must be done.
2 months 4 months
STOP THE METFORMIN
10-20 hours
1.5

13. What are anticoagulation treatment options
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)
Flagyl (Metronidazole)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

14. What drug can be used for cardioversion with structural heart disease
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Vistaril (hydroxyzine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

15. Neuropathic Pain management
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)
STOP THE METFORMIN
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

16. Pediatric Hepatitis vaccinations should be given when?
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

17. What's the difference between CMP and BMP
Debrox (carbamide peroxide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

18. IBS
Zanaflex (tizanidine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)

19. What are the 6 month pediatric vaccines
Statins (18-55% reduction)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
1. DTaP 2. PCV

20. What can be used to increase WBC counts
Neurogen (Filgastim)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zanaflex (tizanidine)
2-8 hours

21. Withdrawal symptoms
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vistaril (hydroxyzine)
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

22. name a central acting muscle relaxant
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vyvanse (lisdexamphetamine)

23. What are the ages for the Hib vaccine
Tessalon (benzonate)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
Zanaflex (tizanidine)

24. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vyvanse (lisdexamphetamine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Cholestyramine Colestipol Colesevalam

25. What needs to be considered when treating a patient long term with lasics
10-20 hours
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
Trazodone (Desyrel) Buproprion (Wellbutrin)

26. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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

27. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours

28. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Nomanda (memantine) Exelon (Rivastigmine)
Provigil (modafinil)
SSRI's

29. What are the ages for the inactivated poliovirus
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Temazepam (Reston) Lorazepam (Ativan)

30. What are the 2nd generation heterocyclic Anti depressants
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

31. What can be used for BPH
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Proscar (finasteride)

32. What is a severe side effect of metformin
Debrox (carbamide peroxide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
STOP THE METFORMIN

33. What are the effects of fibric acids
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
Neurogen (Filgastim)

34. Name the bile acid sequestrants
2 months 4 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Cholestyramine Colestipol Colesevalam

35. 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
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)

36. What can be used to treat ADHD
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 12-15 months

37. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)

38. Drug addiction and withdrawal
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Statins (18-55% reduction)

39. What are the 3rd generation heterocyclic Anti depressants
Gemofibrozil Fenofibrate Clofibrate
Flagyl (Metronidazole)
2 months 4 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

40. Name the tetracyclines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vyvanse (lisdexamphetamine)
10-20 hours
Tetracycline Doxycycline Demeclocycline Minocycline

41. What is the first line treatment for depression

42. What drug can be used to cardiovert AF of short duration
Proscar (finasteride)
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency

43. What are the effects of the bile acid sequestrants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years

44. What are the 2 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurogen (Filgastim)
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

45. What can be used to prevent coagulation
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Statins (18-55% reduction)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

46. 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
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)

47. Name the statins
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

48. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

49. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months

50. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Proscar (finasteride)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)