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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 drug can be used for cardioversion with structural heart disease
1. 12-24 months 2. 6-18 months after initial dose
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

2. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

3. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

4. Name the statins
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zofran (Ondansetron) Reglam (metoclopromide)
1.5

5. What can be used for BPH
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics

6. IBS
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dannitol (Phenobarbital +Atropine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

7. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dannitol (Phenobarbital +Atropine)

8. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Flecanide. Not to be used with LV insufficiency
STOP THE METFORMIN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

9. When should the HEP A vaccine be administered
Pregabalin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months

10. What are the effects of nicotinic acid
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Proscar (finasteride)
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

11. What can be used to treat ADHD
Neurogen (Filgastim)
Vyvanse (lisdexamphetamine)
10-20 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval

12. High blood pressure
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
Tricyclics
Proscar (finasteride)
Zofran (Ondansetron) Reglam (metoclopromide)

13. What is the duration action of intermediate acting benzo's
10-20 hours
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Proscar (finasteride)

14. What are the effects of the bile acid sequestrants
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

15. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)
Flecanide. Not to be used with LV insufficiency

16. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zofran (Ondansetron) Reglam (metoclopromide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-24 months 2. 6-18 months after initial dose

17. What are the ages that the measles mumps and rubella vaccine administered
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years

18. Problems with welchol and diabetes
Pregabalin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN

19. What is a severe side effect of metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Proscar (finasteride)

20. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)
Tessalon (benzonate)
Pregabalin

21. Name the aminoglycoside
Nomanda (memantine) Exelon (Rivastigmine)
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

22. Name the bile acid sequestrants
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

23. What are some options for pain control
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours

24. Name the tetracyclines
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years

25. Neuropathic Pain management
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)

26. What is the max creatinine clearance level for metformin
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1.5

27. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2-8 hours

28. What are the ages for the inactivated poliovirus
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

29. What is the first line treatment for depression

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30. What drug is used to tx narcolepsy
Pregabalin
Provigil (modafinil)
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

31. Treatment for pre-diabetes
Flecanide. Not to be used with LV insufficiency
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. What ages are the Hep B vaccine given
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)

33. What can be used to increase WBC counts
Neurogen (Filgastim)
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. What is used to clean ears
Debrox (carbamide peroxide)
SSRI's
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years

35. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
2-8 hours
Pregabalin
Block serotonin and Nor epinephrine
Dolgic (Acetamenaphen + butabital)

36. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 12-15 months
2-8 hours
Flagyl (Metronidazole)

37. What are the first generation anti depressants
Tricyclics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zofran (Ondansetron) Reglam (metoclopromide)
2 months 4 months

38. Withdrawal symptoms
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vistaril (hydroxyzine)

39. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)
Debrox (carbamide peroxide)
2 months 4 months

40. What can be used to improve memory
Pregabalin
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)

41. What are the 4 month pediatric vaccines
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
Gemofibrozil Fenofibrate Clofibrate

42. What are anticoagulation treatment options
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
SSRI's

43. What drug can be used to cardiovert AF of short duration
Pregabalin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)

44. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-24 months 2. 6-18 months after initial dose

45. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tricyclics

46. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

47. What is the duration of short acting benzo's
2-8 hours
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

48. How do you treat low magnesium and low potassium in the hospital setting
Statins (18-55% reduction)
Dolgic (Acetamenaphen + butabital)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Block serotonin and Nor epinephrine

49. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
Flecanide. Not to be used with LV insufficiency

50. What is the benefit of Welchol
SSRI's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Trazodone (Desyrel) Buproprion (Wellbutrin)