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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 the max creatinine clearance level for metformin
2-8 hours
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1.5

2. Name the fibric acids
SSRI's
1. 2 months 2. 4 months 3. 12-15 months
Gemofibrozil Fenofibrate Clofibrate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

3. What can be used to treat ADHD
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

4. High blood pressure
Zanaflex (tizanidine)
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
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

5. What are the 2nd generation heterocyclic Anti depressants
Debrox (carbamide peroxide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Trazodone (Desyrel) Buproprion (Wellbutrin)

6. name the SSRI's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Provigil (modafinil)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

7. What's the difference between CMP and BMP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A CMP is a BMP (kidney - electrolytes) PLUS liver function
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

8. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pregabalin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

9. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

10. Treatment for pre-diabetes
2-8 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)
1. 12-24 months 2. 6-18 months after initial dose

11. What drug can be used to cardiovert AF of short duration
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)

12. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years

13. Drug addiction and withdrawal
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)
2 months 4 months
Temazepam (Reston) Lorazepam (Ativan)

14. What are the ages that the measles mumps and rubella vaccine administered
Zofran (Ondansetron) Reglam (metoclopromide)
10-20 hours
2-8 hours
1. 12-15 months 2. 4-6 years

15. What ages the are the DTaP vaccine given
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pregabalin
Flagyl (Metronidazole)

16. What can be used to increase WBC counts
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurogen (Filgastim)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

17. What ages are the Rotavirus vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 months 4 months

18. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Tessalon (benzonate)

19. What are the ages for the pneumococcal vaccine
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

20. Problems with welchol and diabetes
Debrox (carbamide peroxide)
Tessalon (benzonate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

21. When should the varicella virus vaccine be administered
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years

22. Name the long acting benzodiazepines
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

23. What can be used for nausea
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Nomanda (memantine) Exelon (Rivastigmine)
Zofran (Ondansetron) Reglam (metoclopromide)

24. Name the short acting benzodiazepines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pregabalin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Provigil (modafinil)

25. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

26. What needs to be considered when treating a patient long term with lasics
Debrox (carbamide peroxide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN
Flagyl (Metronidazole)

27. What are some options for pain control
1. DTaP 2. PCV
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

28. What are the 6 month pediatric vaccines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Cholestyramine Colestipol Colesevalam
1. DTaP 2. PCV

29. Neuropathic Pain management
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)

30. What ages are the Hep B vaccine given
Tessalon (benzonate)
1. Birth 2. 1-2 months 3. 6-18 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

31. Name the tetracyclines
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

32. What can be used for cough suppression
1. 2 months 2. 4 months 3. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

33. Name the intermediate acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours

34. What are anticoagulation treatment options
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Erythromycin Clarithromycin Azithromycin

35. What is the duration of short acting benzo's
Vistaril (hydroxyzine)
2-8 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

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

37. Name the bile acid sequestrants
Neurogen (Filgastim)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Tricyclics
Cholestyramine Colestipol Colesevalam

38. What is the benefit of Welchol
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

39. Name the statins
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

40. What are the 4 month pediatric vaccines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

41. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Proscar (finasteride)
2-8 hours

42. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

43. How do you treat low magnesium and low potassium in the hospital setting
1. Birth 2. 1-2 months 3. 6-18 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

44. What are the ages for the inactivated poliovirus
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)

45. Withdrawal symptoms
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flecanide. Not to be used with LV insufficiency
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

46. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Statins (18-55% reduction)
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 months 3. 6-18 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

47. Name the macrolides
Dannitol (Phenobarbital +Atropine)
2 months 4 months
Flecanide. Not to be used with LV insufficiency
Erythromycin Clarithromycin Azithromycin

48. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

49. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zanaflex (tizanidine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

50. What can be used to relax muscles associated with tension head aches
Pregabalin
STOP THE METFORMIN
Neurontin (gabapentin) Lyrica (Pregabalin)
Dolgic (Acetamenaphen + butabital)