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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 is a severe side effect of metformin
Zanaflex (tizanidine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

2. 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)
Flagyl (Metronidazole)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

3. What is the first line treatment for depression

4. When should the varicella virus vaccine be administered
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years

5. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1.5
Flecanide. Not to be used with LV insufficiency
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

6. Drug addiction and withdrawal
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
STOP THE METFORMIN
Suboxone (Buprenorphine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

7. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. DTaP 2. PCV
Pregabalin
Flagyl (Metronidazole)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

8. What can be used for nausea
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zofran (Ondansetron) Reglam (metoclopromide)

9. name the SSRI's
2-8 hours
1. 12-24 months 2. 6-18 months after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Cholestyramine Colestipol Colesevalam

10. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)

11. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
10-20 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)

12. What is the max creatinine clearance level for metformin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
STOP THE METFORMIN
1.5
SSRI's

13. What drug can be used to cardiovert AF of short duration
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)
Tricyclics
Flecanide. Not to be used with LV insufficiency

14. Erythematous Nodosum
Pregabalin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

15. What are the first generation anti depressants
Dannitol (Phenobarbital +Atropine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tricyclics

16. What are the effects of fibric acids
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
Gemofibrozil Fenofibrate Clofibrate
Neurogen (Filgastim)

17. What is the effect of the statins
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

18. What drug is used to tx narcolepsy
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

19. What are the 2nd generation heterocyclic Anti depressants
SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Cholestyramine Colestipol Colesevalam

20. What can be used to increase WBC counts
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

21. What are some options for pain control
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 months 4 months

22. Name the macrolides
1.5
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

23. What is an FDA approved prescription weight loss drug
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

24. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vyvanse (lisdexamphetamine)
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

25. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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
STOP THE METFORMIN

26. Problems with welchol and diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months

27. What class of drugs will lower LDL the most
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)

28. Name the bile acid sequestrants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Cholestyramine Colestipol Colesevalam
Debrox (carbamide peroxide)
2-8 hours

29. What are the 2 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

30. Name the fibric acids
1. 2 months 2. 4 months 3. 12-15 months
Tessalon (benzonate)
Gemofibrozil Fenofibrate Clofibrate
Temazepam (Reston) Lorazepam (Ativan)

31. What is the duration of short acting benzo's
2-8 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
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tetracycline Doxycycline Demeclocycline Minocycline

32. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tessalon (benzonate)
Provigil (modafinil)

33. What are the ages that the measles mumps and rubella vaccine administered
Neurontin (gabapentin) Lyrica (Pregabalin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years

34. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Trazodone (Desyrel) Buproprion (Wellbutrin)

35. What can be used for BPH
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Proscar (finasteride)

36. What is used to clean ears
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

37. What can be used for cough suppression
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)
Tessalon (benzonate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

38. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)

39. What can be used to prevent coagulation
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

40. name a central acting muscle relaxant
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

41. IBS
1. DTaP 2. PCV
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

42. What is the duration action of intermediate acting benzo's
1. 12-15 months 2. 4-6 years
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

43. What is the benefit of Welchol
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 months 3. 6-18 months
Pregabalin

44. What are anticoagulation treatment options
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
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

45. What is Pradaxa
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pregabalin

46. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

47. Name the tetracyclines
Statins (18-55% reduction)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tetracycline Doxycycline Demeclocycline Minocycline
Pregabalin

48. What's the difference between CMP and BMP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function

49. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Gemofibrozil Fenofibrate Clofibrate
Block serotonin and Nor epinephrine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

50. Name the statins
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Proscar (finasteride)
Tricyclics