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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. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)

2. What ages the are the DTaP vaccine given
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

3. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pregabalin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Block serotonin and Nor epinephrine

4. What is the max creatinine clearance level for metformin
SSRI's
1. 2 months 2. 4 months 3. 12-15 months
1.5
Statins (18-55% reduction)

5. name a central acting muscle relaxant
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)

6. Name the fibric acids
Nomanda (memantine) Exelon (Rivastigmine)
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dannitol (Phenobarbital +Atropine)

7. What is the first line treatment for depression

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8. Pediatric Hepatitis vaccinations should be given when?
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

9. What is the benefit of Welchol
Cholestyramine Colestipol Colesevalam
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

10. What are the 3rd generation heterocyclic Anti depressants
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

11. What can be used to relax muscles associated with tension head aches
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Statins (18-55% reduction)
SSRI's
Dolgic (Acetamenaphen + butabital)

12. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flecanide. Not to be used with LV insufficiency

13. When should the HEP A vaccine be administered
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

14. Name the statins
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN

15. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

16. What are some causes of pitting edema
Statins (18-55% reduction)
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
Tessalon (benzonate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

17. What can be used to improve memory
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
STOP THE METFORMIN
1. 12-24 months 2. 6-18 months after initial dose
Nomanda (memantine) Exelon (Rivastigmine)

18. High blood pressure
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
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
Zanaflex (tizanidine)

19. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Gemofibrozil Fenofibrate Clofibrate

20. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vyvanse (lisdexamphetamine)

21. What are the 6 month pediatric vaccines
1. 12-15 months 2. 4-6 years
1.5
1. DTaP 2. PCV
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

22. What is the effect of the statins
SSRI's
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

23. What are anticoagulation treatment options
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2-8 hours
1. DTaP 2. PCV
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

24. Problems with welchol and diabetes
Neurogen (Filgastim)
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

25. What ages are the Rotavirus vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years

26. Drug addiction and withdrawal
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

27. Name the short acting benzodiazepines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

28. Treatment for pre-diabetes
Temazepam (Reston) Lorazepam (Ativan)
SSRI's
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

29. Neuropathic Pain management
1. 2 months 2. 4 months 3. 12-15 months
2 months 4 months
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)

30. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

31. What can be used to treat ADHD
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years

32. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
Tessalon (benzonate)
STOP THE METFORMIN

33. What are the ages for the pneumococcal vaccine
Block serotonin and Nor epinephrine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Flagyl (Metronidazole)

34. What can be used for BPH
1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Temazepam (Reston) Lorazepam (Ativan)
Proscar (finasteride)

35. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vyvanse (lisdexamphetamine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

36. When should the varicella virus vaccine be administered
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

37. Name the intermediate acting benzodiazepines
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
Suboxone (Buprenorphine)
Neurogen (Filgastim)

38. What's the difference between CMP and BMP
Suboxone (Buprenorphine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. DTaP 2. PCV

39. What are the ages that the measles mumps and rubella vaccine administered
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
1. Birth 2. 1-2 months 3. 6-18 months

40. Name the long acting benzodiazepines
1. Birth 2. 1-2 months 3. 6-18 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Nomanda (memantine) Exelon (Rivastigmine)

41. Name the tetracyclines
Neurontin (gabapentin) Lyrica (Pregabalin)
Tetracycline Doxycycline Demeclocycline Minocycline
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate

42. What are the 4 month pediatric vaccines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

43. What is the duration action of intermediate acting benzo's
10-20 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

44. What drug can be used for cardioversion with structural heart disease
Tessalon (benzonate)
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

45. What can be used for nausea
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
Zofran (Ondansetron) Reglam (metoclopromide)
SSRI's

46. What are the first generation anti depressants
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

47. What are the effects of the bile acid sequestrants
Pregabalin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
SSRI's
2 months 4 months

48. What can be used to prevent coagulation
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

49. Name the aminoglycoside
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Erythromycin Clarithromycin Azithromycin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

50. What are some options for pain control
2 months 4 months
Vyvanse (lisdexamphetamine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)