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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. Name the bile acid sequestrants
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Cholestyramine Colestipol Colesevalam

2. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Proscar (finasteride)

3. When should the HEP A vaccine be administered
Debrox (carbamide peroxide)
1. 12-24 months 2. 6-18 months after initial dose
Flecanide. Not to be used with LV insufficiency
Vyvanse (lisdexamphetamine)

4. What is used to clean ears
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

5. What is the duration of short acting benzo's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
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
2-8 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

6. What are the 2 month pediatric vaccines
1.5
Zanaflex (tizanidine)
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

7. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years

8. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)
2 months 4 months

9. If a patient is on metformin and about to undergo contrast imaging - what must be done.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 months 3. 6-18 months
STOP THE METFORMIN

10. What can be used for BPH
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years

11. What drug is used to tx narcolepsy
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

12. What ages the are the DTaP vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

13. What are some causes of pitting edema
1. 2 months 2. 4 months 3. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

14. Name the intermediate acting benzodiazepines
Vyvanse (lisdexamphetamine)
2-8 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)

15. What can be used for cough suppression
SSRI's
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)
Tessalon (benzonate)

16. What can be used to treat against C-difference in addition to parasites and other bacteria.
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Block serotonin and Nor epinephrine
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

17. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)

18. What is an FDA approved prescription weight loss drug
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 12-15 months

19. What are the ages that the measles mumps and rubella vaccine administered
1. 12-24 months 2. 6-18 months after initial dose
Tessalon (benzonate)
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years

20. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Provigil (modafinil)
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months

21. What are some options for pain control
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

22. Withdrawal symptoms
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vistaril (hydroxyzine)
Pregabalin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

23. Name the fibric acids
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

24. What is the first line treatment for depression

25. What class of drugs will lower LDL the most
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

26. What can be used for nausea
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-15 months 2. 4-6 years

27. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 months 4 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Block serotonin and Nor epinephrine

28. Drug addiction and withdrawal
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

29. What are anticoagulation treatment options
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
STOP THE METFORMIN

30. What is Pradaxa
Cholestyramine Colestipol Colesevalam
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)

31. name the SSRI's
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)

32. IBS
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

33. What is the benefit of Welchol
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
SSRI's

34. What can be used to treat ADHD
STOP THE METFORMIN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

35. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

36. Erythematous Nodosum
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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.

37. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
Debrox (carbamide peroxide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

38. What is the effect of the statins
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
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

39. What are the effects of fibric acids
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 months 4 months

40. Neuropathic Pain management
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2-8 hours
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)

41. Problems with welchol and diabetes
2-8 hours
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

42. What can be used to prevent coagulation
Debrox (carbamide peroxide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
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. 2 months 2. 4 months 3. 12-15 months

43. What are the 2nd generation heterocyclic Anti depressants
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dolgic (Acetamenaphen + butabital)
Trazodone (Desyrel) Buproprion (Wellbutrin)

44. What is the duration action of intermediate acting benzo's
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
Zofran (Ondansetron) Reglam (metoclopromide)

45. Name the statins
Flecanide. Not to be used with LV insufficiency
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

46. What can be used to improve memory
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Nomanda (memantine) Exelon (Rivastigmine)
1. Birth 2. 1-2 months 3. 6-18 months
Pregabalin

47. What is the max creatinine clearance level for metformin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1.5
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

48. When should the varicella virus vaccine be administered
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Statins (18-55% reduction)

49. What ages are the Rotavirus vaccine given
Vistaril (hydroxyzine)
Vyvanse (lisdexamphetamine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 months 4 months

50. What drug can be used to cardiovert AF of short duration
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flecanide. Not to be used with LV insufficiency