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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
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
SSRI's

2. What drug can be used for cardioversion with structural heart disease
1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tetracycline Doxycycline Demeclocycline Minocycline
Gemofibrozil Fenofibrate Clofibrate

3. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV

4. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Statins (18-55% reduction)
Dolgic (Acetamenaphen + butabital)
STOP THE METFORMIN

5. What is used to clean ears
Neurogen (Filgastim)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

6. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Gemofibrozil Fenofibrate Clofibrate
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

7. Name the bile acid sequestrants
Temazepam (Reston) Lorazepam (Ativan)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Cholestyramine Colestipol Colesevalam
Tricyclics

8. Erythematous Nodosum
Zanaflex (tizanidine)
Tessalon (benzonate)
Vyvanse (lisdexamphetamine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

9. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
SSRI's
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

10. Drug addiction and withdrawal
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Suboxone (Buprenorphine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)

11. What are the ages for the pneumococcal vaccine
1.5
Dannitol (Phenobarbital +Atropine)
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. 2 months 2. 4 months 3. 6 months 4. 12-15 months

12. What is the duration of short acting benzo's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
2-8 hours
Neurogen (Filgastim)

13. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose
Dannitol (Phenobarbital +Atropine)

14. What can be used for nausea
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

15. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pregabalin
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

16. What are the effects of fibric acids
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose

17. What are some options for pain control
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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. What is the max creatinine clearance level for metformin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurogen (Filgastim)
1.5
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

19. What is the benefit of Welchol
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Temazepam (Reston) Lorazepam (Ativan)

20. Name the long acting benzodiazepines
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Flecanide. Not to be used with LV insufficiency

21. Problems with welchol and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-15 months 2. 4-6 years

22. 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
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

23. IBS
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dannitol (Phenobarbital +Atropine)
Vistaril (hydroxyzine)

24. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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.

25. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
SSRI's
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

26. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

27. What is the effect of the statins
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate

28. Withdrawal symptoms
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vistaril (hydroxyzine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dannitol (Phenobarbital +Atropine)

29. Name the intermediate acting benzodiazepines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Cholestyramine Colestipol Colesevalam
Temazepam (Reston) Lorazepam (Ativan)

30. What can be used to improve memory
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

31. What are the ages for the Hib vaccine
Temazepam (Reston) Lorazepam (Ativan)
Tricyclics
1. 2 months 2. 4 months 3. 12-15 months
10-20 hours

32. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Flecanide. Not to be used with LV insufficiency

33. What can be used to prevent coagulation
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Gemofibrozil Fenofibrate Clofibrate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

34. What are some causes of pitting edema
Tetracycline Doxycycline Demeclocycline Minocycline
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

35. Name the short acting benzodiazepines
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vyvanse (lisdexamphetamine)

36. What is the duration action of intermediate acting benzo's
Neurogen (Filgastim)
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)
10-20 hours

37. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

38. What are the first generation anti depressants
Tricyclics
Zofran (Ondansetron) Reglam (metoclopromide)
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

39. What ages the are the DTaP vaccine given
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Cholestyramine Colestipol Colesevalam

40. What are the ages that the measles mumps and rubella vaccine administered
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
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN

41. What ages are the Rotavirus vaccine given
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
2 months 4 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

42. What are the effects of nicotinic acid
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)

43. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Flagyl (Metronidazole)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. What are the effects of the bile acid sequestrants
Zofran (Ondansetron) Reglam (metoclopromide)
Debrox (carbamide peroxide)
Block serotonin and Nor epinephrine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

45. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 12-15 months
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

46. What drug is used to tx narcolepsy
Flecanide. Not to be used with LV insufficiency
Neurontin (gabapentin) Lyrica (Pregabalin)
Provigil (modafinil)
1. 12-24 months 2. 6-18 months after initial dose

47. Neuropathic Pain management
Proscar (finasteride)
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)

48. High blood pressure
Flagyl (Metronidazole)
Vistaril (hydroxyzine)
Gemofibrozil Fenofibrate Clofibrate
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

49. What can be used to increase WBC counts
Neurontin (gabapentin) Lyrica (Pregabalin)
Neurogen (Filgastim)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)

50. name a central acting muscle relaxant
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses