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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 ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Suboxone (Buprenorphine)

2. What is the duration action of intermediate acting benzo's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
10-20 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

3. 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
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurogen (Filgastim)

4. Name the bile acid sequestrants
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)
Cholestyramine Colestipol Colesevalam
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

5. How do you treat low magnesium and low potassium in the hospital setting
Zanaflex (tizanidine)
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
Pregabalin

6. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV
Tetracycline Doxycycline Demeclocycline Minocycline

7. Treatment for pre-diabetes
Pregabalin
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

8. Neuropathic Pain management
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)

9. Name the fibric acids
Cholestyramine Colestipol Colesevalam
Neurontin (gabapentin) Lyrica (Pregabalin)
Gemofibrozil Fenofibrate Clofibrate
2-8 hours

10. What is used to clean ears
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 12-15 months

11. Name the aminoglycoside
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1.5
Zanaflex (tizanidine)

12. What is the effect of the statins
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

13. What ages are the Hep B vaccine given
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2-8 hours
1. Birth 2. 1-2 months 3. 6-18 months

14. What can be used for cough suppression
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tessalon (benzonate)
2 months 4 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

15. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1.5
1. Birth 2. 1-2 months 3. 6-18 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

16. name a central acting muscle relaxant
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zanaflex (tizanidine)
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

17. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Ibutilide (IV Only). It prolongs repolarization and the QT interval
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)

18. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months

19. Name the tetracyclines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

20. What is a severe side effect of metformin
Cholestyramine Colestipol Colesevalam
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

21. What is an FDA approved prescription weight loss drug
Neurogen (Filgastim)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

22. What are the ages that the measles mumps and rubella vaccine administered
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

23. name the SSRI's
Vistaril (hydroxyzine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

24. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Vistaril (hydroxyzine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 12-15 months

25. Name the statins
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

26. What can be used to treat ADHD
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)
2 months 4 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

27. Withdrawal symptoms
Vistaril (hydroxyzine)
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

28. What drug is used to tx narcolepsy
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours
Provigil (modafinil)
Tricyclics

29. What is the max creatinine clearance level for metformin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1.5
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

30. What can be used to improve memory
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2 months 4 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Nomanda (memantine) Exelon (Rivastigmine)

31. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)

32. What are the first generation anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours

33. Name the intermediate acting benzodiazepines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
10-20 hours
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Temazepam (Reston) Lorazepam (Ativan)

34. What are the ages for the Hib vaccine
Flecanide. Not to be used with LV insufficiency
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 12-15 months

35. What are some options for pain control
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Birth 2. 1-2 months 3. 6-18 months

36. What are the effects of the bile acid sequestrants
Pregabalin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

37. Pediatric Hepatitis vaccinations should be given when?
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

38. What are the 4 month pediatric vaccines
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)

39. What are the effects of nicotinic acid
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

40. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Debrox (carbamide peroxide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-24 months 2. 6-18 months after initial dose

41. Name the long acting benzodiazepines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years

42. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. What ages the are the DTaP vaccine given
Flecanide. Not to be used with LV insufficiency
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

44. What class of drugs will lower LDL the most
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1.5
Statins (18-55% reduction)

45. Name the short acting benzodiazepines
Neurogen (Filgastim)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

46. What drug can be used for cardioversion with structural heart disease
2-8 hours
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

47. What is Pradaxa
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

48. When should the HEP A vaccine be administered
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pregabalin
1. 12-24 months 2. 6-18 months after initial dose

49. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Debrox (carbamide peroxide)

50. IBS
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)