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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. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
2-8 hours
Flecanide. Not to be used with LV insufficiency
Block serotonin and Nor epinephrine

2. Name the macrolides
Erythromycin Clarithromycin Azithromycin
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. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline

3. What are the 6 month pediatric vaccines
Pregabalin
1. DTaP 2. PCV
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months

4. What's the difference between CMP and BMP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zanaflex (tizanidine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

5. Name the intermediate acting benzodiazepines
Trazodone (Desyrel) Buproprion (Wellbutrin)
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

6. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 months 4 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

7. What can be used to prevent coagulation
1. 2 months 2. 4 months 3. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Erythromycin Clarithromycin Azithromycin

8. What is an FDA approved prescription weight loss drug
Suboxone (Buprenorphine)
Provigil (modafinil)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

9. What are the effects of the bile acid sequestrants
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

10. What is the duration action of intermediate acting benzo's
10-20 hours
Erythromycin Clarithromycin Azithromycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)

11. When should the varicella virus vaccine be administered
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
10-20 hours

12. What are the ages for the Hib vaccine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 12-15 months
Neurogen (Filgastim)

13. What are the ages that the measles mumps and rubella vaccine administered
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

14. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 12-24 months 2. 6-18 months after initial dose
Gemofibrozil Fenofibrate Clofibrate
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

15. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

16. What class of drugs will lower LDL the most
2-8 hours
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)

17. What drug is used to tx narcolepsy
Tricyclics
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
Vistaril (hydroxyzine)

18. Name the statins
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

19. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

20. What ages are the Rotavirus vaccine given
2 months 4 months
Nomanda (memantine) Exelon (Rivastigmine)
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

21. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years

22. When should the HEP A vaccine be administered
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
Proscar (finasteride)

23. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours
Erythromycin Clarithromycin Azithromycin
Vyvanse (lisdexamphetamine)

24. What is the first line treatment for depression

25. What is a severe side effect of metformin
Pregabalin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

26. Drug addiction and withdrawal
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)
Zofran (Ondansetron) Reglam (metoclopromide)

27. What can be used to relax muscles associated with tension head aches
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

28. Name the bile acid sequestrants
10-20 hours
Flecanide. Not to be used with LV insufficiency
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam

29. What can be used for nausea
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
Zofran (Ondansetron) Reglam (metoclopromide)

30. Erythematous Nodosum
1. Birth 2. 1-2 months 3. 6-18 months
Tricyclics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

31. What are the 3rd generation heterocyclic Anti depressants
2-8 hours
Zofran (Ondansetron) Reglam (metoclopromide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

32. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flecanide. Not to be used with LV insufficiency
Debrox (carbamide peroxide)

33. Name the long acting benzodiazepines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

34. What is the benefit of Welchol
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
Debrox (carbamide peroxide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

35. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)

36. Pediatric Hepatitis vaccinations should be given when?
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Erythromycin Clarithromycin Azithromycin

37. What are anticoagulation treatment options
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

38. What is the effect of the statins
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

39. Name the aminoglycoside
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
SSRI's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

40. What can be used to increase WBC counts
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Erythromycin Clarithromycin Azithromycin

41. What is the duration of short acting benzo's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2-8 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vistaril (hydroxyzine)

42. What ages are the Hep B vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months

43. What are the ages for the inactivated poliovirus
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)
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

44. 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
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

45. What is used to clean ears
Statins (18-55% reduction)
SSRI's
Debrox (carbamide peroxide)
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

46. name a central acting muscle relaxant
Tricyclics
Suboxone (Buprenorphine)
Dolgic (Acetamenaphen + butabital)
Zanaflex (tizanidine)

47. Withdrawal symptoms
STOP THE METFORMIN
Vistaril (hydroxyzine)
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

48. Treatment for pre-diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

49. What are the first generation anti depressants
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 12-15 months
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

50. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Block serotonin and Nor epinephrine