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

2. What is an FDA approved prescription weight loss drug
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

3. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Statins (18-55% reduction)

4. What needs to be considered when treating a patient long term with lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

5. What is the max creatinine clearance level for metformin
1.5
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

6. Name the short acting benzodiazepines
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Proscar (finasteride)

7. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin
Suboxone (Buprenorphine)

8. What can be used to prevent coagulation
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pregabalin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

9. What are some causes of pitting edema
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. What is the benefit of Welchol
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

11. name a central acting muscle relaxant
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)

12. Pediatric Hepatitis vaccinations should be given when?
Suboxone (Buprenorphine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)

13. Treatment for pre-diabetes
Debrox (carbamide peroxide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

14. Name the intermediate acting benzodiazepines
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vistaril (hydroxyzine)
Temazepam (Reston) Lorazepam (Ativan)

15. What can be used to improve memory
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

16. What drug can be used to cardiovert AF of short duration
1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flecanide. Not to be used with LV insufficiency

17. Name the macrolides
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
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.
Erythromycin Clarithromycin Azithromycin

18. What are some options for pain control
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

19. What is the first line treatment for depression

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20. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Gemofibrozil Fenofibrate Clofibrate
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine

21. What ages the are the DTaP vaccine given
Neurogen (Filgastim)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

22. Name the fibric acids
Zanaflex (tizanidine)
Gemofibrozil Fenofibrate Clofibrate
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency

23. What are the effects of fibric acids
Tessalon (benzonate)
Nomanda (memantine) Exelon (Rivastigmine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

24. Name the tetracyclines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tetracycline Doxycycline Demeclocycline Minocycline
Dolgic (Acetamenaphen + butabital)

25. What ages are the Hep B vaccine given
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 months 3. 6-18 months
Pregabalin

26. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

27. What can be used to treat ADHD
Erythromycin Clarithromycin Azithromycin
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

28. What are the 2nd generation heterocyclic Anti depressants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Trazodone (Desyrel) Buproprion (Wellbutrin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-24 months 2. 6-18 months after initial dose

29. What's the difference between CMP and BMP
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-24 months 2. 6-18 months after initial dose
A CMP is a BMP (kidney - electrolytes) PLUS liver function
10-20 hours

30. What is Pradaxa
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
10-20 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-24 months 2. 6-18 months after initial dose

31. What are the effects of nicotinic acid
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
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%)

32. What is the duration action of intermediate acting benzo's
10-20 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurontin (gabapentin) Lyrica (Pregabalin)

33. What can be used to increase WBC counts
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
Vyvanse (lisdexamphetamine)
Neurogen (Filgastim)

34. IBS
Proscar (finasteride)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)

35. What are the first generation anti depressants
Neurogen (Filgastim)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

36. Withdrawal symptoms
Vistaril (hydroxyzine)
Tessalon (benzonate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

37. What can be used to treat against C-difference in addition to parasites and other bacteria.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2 months 4 months
Flagyl (Metronidazole)
1.5

38. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)

39. What is the duration of short acting benzo's
2-8 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval
SSRI's
Erythromycin Clarithromycin Azithromycin

40. Name the long acting benzodiazepines
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

41. What is used to clean ears
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)
Erythromycin Clarithromycin Azithromycin
Trazodone (Desyrel) Buproprion (Wellbutrin)

42. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zofran (Ondansetron) Reglam (metoclopromide)

43. What can be used to relax muscles associated with tension head aches
STOP THE METFORMIN
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)

44. What are anticoagulation treatment options
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Debrox (carbamide peroxide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

45. What is a severe side effect of metformin
Tricyclics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

46. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)

47. What are the ages for the pneumococcal vaccine
2-8 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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

48. If a patient is on metformin and about to undergo contrast imaging - what must be done.
10-20 hours
STOP THE METFORMIN
Erythromycin Clarithromycin Azithromycin
Gemofibrozil Fenofibrate Clofibrate

49. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
1.5

50. What can be used for BPH
Statins (18-55% reduction)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Proscar (finasteride)