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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 is the duration of short acting benzo's
2-8 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years

2. When should the varicella virus vaccine be administered
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Dolgic (Acetamenaphen + butabital)

3. What are the effects of nicotinic acid
Vistaril (hydroxyzine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

4. What are the effects of fibric acids
Suboxone (Buprenorphine)
1.5
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

5. Pediatric Hepatitis vaccinations should be given when?
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zofran (Ondansetron) Reglam (metoclopromide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

6. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

7. What are the 6 month pediatric vaccines
Cholestyramine Colestipol Colesevalam
1. DTaP 2. PCV
Debrox (carbamide peroxide)
Flecanide. Not to be used with LV insufficiency

8. What is Pradaxa
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

9. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)

10. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. What's the difference between CMP and BMP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A CMP is a BMP (kidney - electrolytes) PLUS liver function

12. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

13. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)

14. What is the max creatinine clearance level for metformin
Tessalon (benzonate)
1.5
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam

15. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

16. What are the 3rd generation heterocyclic Anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
SSRI's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

17. What is used to clean ears
2-8 hours
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

18. What can be used to treat ADHD
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. DTaP 2. PCV
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)

19. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years

20. What can be used to prevent coagulation
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flagyl (Metronidazole)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

21. Name the short acting benzodiazepines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
Suboxone (Buprenorphine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

22. What class of drugs will lower LDL the most
Tricyclics
Statins (18-55% reduction)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

23. What are the ages for the pneumococcal vaccine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

24. What is a severe side effect of metformin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

25. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

26. Erythematous Nodosum
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)
Vyvanse (lisdexamphetamine)

27. What is the effect of the statins
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)
Vistaril (hydroxyzine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

28. What can be used to improve memory
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

29. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 months 3. 6-18 months
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

30. High blood pressure
Vistaril (hydroxyzine)
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
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Provigil (modafinil)

31. What are the 2 month pediatric vaccines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

32. What are the 4 month pediatric vaccines
1. DTaP 2. PCV
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

33. What can be used to increase WBC counts
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Neurogen (Filgastim)

34. What are the ages that the measles mumps and rubella vaccine administered
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

35. What can be used for cough suppression
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tessalon (benzonate)
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

36. What drug can be used to cardiovert AF of short duration
Vyvanse (lisdexamphetamine)
Flagyl (Metronidazole)
Flecanide. Not to be used with LV insufficiency
Trazodone (Desyrel) Buproprion (Wellbutrin)

37. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin

38. What drug can be used for cardioversion with structural heart disease
1.5
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

39. What are the first generation anti depressants
Neurogen (Filgastim)
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

40. Withdrawal symptoms
Vistaril (hydroxyzine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Trazodone (Desyrel) Buproprion (Wellbutrin)
SSRI's

41. Name the bile acid sequestrants
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam

42. What are the ages for the Hib vaccine
SSRI's
1. 2 months 2. 4 months 3. 12-15 months
Cholestyramine Colestipol Colesevalam
1.5

43. What are anticoagulation treatment options
1. 12-24 months 2. 6-18 months after initial dose
Debrox (carbamide peroxide)
Tetracycline Doxycycline Demeclocycline Minocycline
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

44. Treatment for pre-diabetes
1. Birth 2. 1-2 months 3. 6-18 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

45. What can be used for nausea
Dolgic (Acetamenaphen + butabital)
Neurogen (Filgastim)
Zofran (Ondansetron) Reglam (metoclopromide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

46. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Dannitol (Phenobarbital +Atropine)
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin

47. What is the duration action of intermediate acting benzo's
STOP THE METFORMIN
10-20 hours
Flagyl (Metronidazole)
2 months 4 months

48. What are some options for pain control
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

49. Name the macrolides
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Erythromycin Clarithromycin Azithromycin
Suboxone (Buprenorphine)

50. What are some causes of pitting edema
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
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dolgic (Acetamenaphen + butabital)