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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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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 needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 12-15 months
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

2. What ages are the Rotavirus vaccine given
Vyvanse (lisdexamphetamine)
Proscar (finasteride)
2 months 4 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

3. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

4. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tessalon (benzonate)

5. What can be used to prevent coagulation
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

6. Name the statins
Flagyl (Metronidazole)
SSRI's
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

7. What are the effects of nicotinic acid
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)

8. What are the effects of the bile acid sequestrants
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
Proscar (finasteride)
Statins (18-55% reduction)

9. What can be used for BPH
Proscar (finasteride)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 12-15 months

10. What is the first line treatment for depression

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11. What are the first generation anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. Name the short acting benzodiazepines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-24 months 2. 6-18 months after initial dose
Neurogen (Filgastim)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

13. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Block serotonin and Nor epinephrine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

14. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Cholestyramine Colestipol Colesevalam
Dolgic (Acetamenaphen + butabital)
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin

15. When should the varicella virus vaccine be administered
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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. DTaP 2. PCV
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%)

17. Name the fibric acids
Trazodone (Desyrel) Buproprion (Wellbutrin)
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

18. Treatment for pre-diabetes
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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

19. Drug addiction and withdrawal
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Suboxone (Buprenorphine)
1. DTaP 2. PCV

20. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

21. Withdrawal symptoms
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tricyclics
Gemofibrozil Fenofibrate Clofibrate

22. 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
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

23. What can be used for cough suppression
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam
10-20 hours
Tessalon (benzonate)

24. What drug is used to tx narcolepsy
10-20 hours
Gemofibrozil Fenofibrate Clofibrate
Provigil (modafinil)
Neurogen (Filgastim)

25. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flecanide. Not to be used with LV insufficiency

26. What can be used to increase WBC counts
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurogen (Filgastim)

27. What is the max creatinine clearance level for metformin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 months 3. 6-18 months

28. Name the macrolides
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Erythromycin Clarithromycin Azithromycin

29. What are the ages for the inactivated poliovirus
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Erythromycin Clarithromycin Azithromycin
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

30. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tricyclics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

31. What drug can be used for cardioversion with structural heart disease
Erythromycin Clarithromycin Azithromycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. Name the tetracyclines
Pregabalin
10-20 hours
1. Birth 2. 1-2 months 3. 6-18 months
Tetracycline Doxycycline Demeclocycline Minocycline

33. What ages are the Hep B vaccine given
1. 2 months 2. 4 months 3. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. DTaP 2. PCV
1. Birth 2. 1-2 months 3. 6-18 months

34. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

35. What can be used for nausea
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

36. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

37. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Pregabalin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Temazepam (Reston) Lorazepam (Ativan)

38. What is the duration action of intermediate acting benzo's
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
10-20 hours
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)

39. Name the intermediate acting benzodiazepines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2 months 4 months
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

40. What are the 2nd generation heterocyclic Anti depressants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vistaril (hydroxyzine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Proscar (finasteride)

41. What ages the are the DTaP vaccine given
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Vistaril (hydroxyzine)

42. What's the difference between CMP and BMP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Trazodone (Desyrel) Buproprion (Wellbutrin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Ibutilide (IV Only). It prolongs repolarization and the QT interval

43. What drug can be used to cardiovert AF of short duration
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flecanide. Not to be used with LV insufficiency
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

44. What can be used to improve memory
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Nomanda (memantine) Exelon (Rivastigmine)

45. Problems with welchol and diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Nomanda (memantine) Exelon (Rivastigmine)

46. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)

47. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flagyl (Metronidazole)

48. High blood pressure
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

49. What are the 6 month pediatric vaccines
SSRI's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. DTaP 2. PCV

50. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

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