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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. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Statins (18-55% reduction)

2. Problems with welchol and diabetes
1.5
STOP THE METFORMIN
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)

3. Name the long acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Provigil (modafinil)

4. When should the varicella virus vaccine be administered
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

5. What is a severe side effect of metformin
10-20 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline

6. What is an FDA approved prescription weight loss drug
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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

7. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

8. Name the fibric acids
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Gemofibrozil Fenofibrate Clofibrate
Block serotonin and Nor epinephrine

9. What is Pradaxa
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN

10. What ages the are the DTaP vaccine given
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Birth 2. 1-2 months 3. 6-18 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

11. What are some causes of pitting edema
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. What class of drugs will lower LDL the most
Temazepam (Reston) Lorazepam (Ativan)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)

13. What are the 6 month pediatric vaccines
1.5
1. DTaP 2. PCV
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

14. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
1. 12-24 months 2. 6-18 months after initial dose
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years

15. Name the statins
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

16. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2-8 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

17. What is used to clean ears
Debrox (carbamide peroxide)
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

18. What drug is used to tx narcolepsy
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Provigil (modafinil)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

19. What are the 4 month pediatric vaccines
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

20. What are the effects of the bile acid sequestrants
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

21. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-24 months 2. 6-18 months after initial dose
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

22. What can be used to relax muscles associated with tension head aches
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

23. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

24. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

25. What ages are the Rotavirus vaccine given
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 months 4 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-24 months 2. 6-18 months after initial dose

26. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

27. Name the tetracyclines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1.5

28. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Provigil (modafinil)
SSRI's

29. Name the bile acid sequestrants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Cholestyramine Colestipol Colesevalam
1.5

30. name the SSRI's
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. 12-24 months 2. 6-18 months after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Erythromycin Clarithromycin Azithromycin

31. What are the 2 month pediatric vaccines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

33. What are some options for pain control
Vyvanse (lisdexamphetamine)
1. DTaP 2. PCV
1. Birth 2. 1-2 months 3. 6-18 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

34. What can be used for BPH
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Proscar (finasteride)

35. Treatment for pre-diabetes
2 months 4 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Trazodone (Desyrel) Buproprion (Wellbutrin)

36. What is the duration of short acting benzo's
2-8 hours
2 months 4 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dolgic (Acetamenaphen + butabital)

37. Drug addiction and withdrawal
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)
1. DTaP 2. PCV
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

38. What is the max creatinine clearance level for metformin
1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Statins (18-55% reduction)
Proscar (finasteride)

39. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)

40. What are the 2nd generation heterocyclic Anti depressants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

41. Erythematous Nodosum
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

42. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

43. What are the ages for the pneumococcal vaccine
Trazodone (Desyrel) Buproprion (Wellbutrin)
STOP THE METFORMIN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

44. What can be used for nausea
Tessalon (benzonate)
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)

45. When should the HEP A vaccine be administered
1.5
Debrox (carbamide peroxide)
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)

46. What is the benefit of Welchol
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

47. What is the effect of the statins
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

48. What can be used to increase WBC counts
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2-8 hours
Neurogen (Filgastim)

49. Neuropathic Pain management
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. DTaP 2. PCV
Neurontin (gabapentin) Lyrica (Pregabalin)

50. What is the first line treatment for depression

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