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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 can be used for cough suppression
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Statins (18-55% reduction)

2. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Flecanide. Not to be used with LV insufficiency
Neurogen (Filgastim)
Pregabalin
Block serotonin and Nor epinephrine

3. Name the fibric acids
Debrox (carbamide peroxide)
Gemofibrozil Fenofibrate Clofibrate
SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

4. What are the ages for the Hib vaccine
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months
Statins (18-55% reduction)
Dannitol (Phenobarbital +Atropine)

5. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1.5
Statins (18-55% reduction)
Cholestyramine Colestipol Colesevalam

6. What can be used to prevent coagulation
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. DTaP 2. PCV

7. Erythematous Nodosum
Vyvanse (lisdexamphetamine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

8. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Nomanda (memantine) Exelon (Rivastigmine)

9. What are the first generation anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tricyclics
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

10. What drug can be used for cardioversion with structural heart disease
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vistaril (hydroxyzine)

11. What are the 3rd generation heterocyclic Anti depressants
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vyvanse (lisdexamphetamine)

12. name a central acting muscle relaxant
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
2-8 hours
Zanaflex (tizanidine)

13. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Temazepam (Reston) Lorazepam (Ativan)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tessalon (benzonate)

14. What needs to be considered when treating a patient long term with lasics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months

15. What can be used for BPH
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

16. What are the 6 month pediatric vaccines
Provigil (modafinil)
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

17. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

18. What ages are the Rotavirus vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)
2 months 4 months

19. What is the effect of the statins
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.
1. Birth 2. 1-2 months 3. 6-18 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function

20. Name the tetracyclines
Flecanide. Not to be used with LV insufficiency
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tetracycline Doxycycline Demeclocycline Minocycline

21. What's the difference between CMP and BMP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

22. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)

23. High blood pressure
1. Birth 2. 1-2 months 3. 6-18 months
Tessalon (benzonate)
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
Vyvanse (lisdexamphetamine)

24. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN

25. What can be used to improve memory
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)
10-20 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

26. IBS
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vistaril (hydroxyzine)
Dannitol (Phenobarbital +Atropine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

27. What can be used to relax muscles associated with tension head aches
SSRI's
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam
Dolgic (Acetamenaphen + butabital)

28. What is the duration action of intermediate acting benzo's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

29. What can be used to treat ADHD
1. Birth 2. 1-2 months 3. 6-18 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)

30. 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
Gemofibrozil Fenofibrate Clofibrate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Cholestyramine Colestipol Colesevalam

31. What are the effects of nicotinic acid
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. 15-18 months 5. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

32. Name the bile acid sequestrants
Nomanda (memantine) Exelon (Rivastigmine)
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

33. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. What are some causes of pitting edema
Tricyclics
Dannitol (Phenobarbital +Atropine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

35. Treatment for pre-diabetes
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

36. What are the 2 month pediatric vaccines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)

37. Name the aminoglycoside
Dolgic (Acetamenaphen + butabital)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

38. What is the benefit of Welchol
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

39. What are the ages for the pneumococcal vaccine
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
Vyvanse (lisdexamphetamine)

40. What is the max creatinine clearance level for metformin
1. 12-15 months 2. 4-6 years
1.5
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

41. Name the macrolides
Tetracycline Doxycycline Demeclocycline Minocycline
Flecanide. Not to be used with LV insufficiency
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)

42. What is a severe side effect of metformin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

43. When should the varicella virus vaccine be administered
Statins (18-55% reduction)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

44. What is the first line treatment for depression

45. Neuropathic Pain management
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

46. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tricyclics

47. What drug can be used to cardiovert AF of short duration
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

48. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 2 months 2. 4 months 3. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)

49. What are the ages that the measles mumps and rubella vaccine administered
10-20 hours
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

50. What is the duration of short acting benzo's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Debrox (carbamide peroxide)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2-8 hours