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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 4 month pediatric vaccines
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tricyclics
STOP THE METFORMIN

2. High blood pressure
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
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
1. 2 months 2. 4 months 3. 12-15 months

3. What are the 3rd generation heterocyclic Anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

4. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

5. Name the short acting benzodiazepines
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

6. What is the max creatinine clearance level for metformin
Gemofibrozil Fenofibrate Clofibrate
1.5
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)

7. What is the duration action of intermediate acting benzo's
Flecanide. Not to be used with LV insufficiency
10-20 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

8. What is the first line treatment for depression

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

10. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Cholestyramine Colestipol Colesevalam
2-8 hours

11. How do you treat low magnesium and low potassium in the hospital setting
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
2 months 4 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

12. What are the effects of the bile acid sequestrants
Pregabalin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Debrox (carbamide peroxide)
Nomanda (memantine) Exelon (Rivastigmine)

13. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Statins (18-55% reduction)
Nomanda (memantine) Exelon (Rivastigmine)
Vyvanse (lisdexamphetamine)

14. What are the 2nd generation heterocyclic Anti depressants
Vyvanse (lisdexamphetamine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)

15. What are the 6 month pediatric vaccines
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Temazepam (Reston) Lorazepam (Ativan)

16. What are the ages for the inactivated poliovirus
1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 months 4 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

17. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-24 months 2. 6-18 months after initial dose
Zanaflex (tizanidine)
Flagyl (Metronidazole)

18. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Flagyl (Metronidazole)
2 months 4 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

19. What drug can be used to cardiovert AF of short duration
Vistaril (hydroxyzine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flecanide. Not to be used with LV insufficiency
Debrox (carbamide peroxide)

20. What are the first generation anti depressants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

21. IBS
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dannitol (Phenobarbital +Atropine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

22. Name the long acting benzodiazepines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

23. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

24. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vistaril (hydroxyzine)

25. What drug is used to tx narcolepsy
1. Birth 2. 1-2 months 3. 6-18 months
Provigil (modafinil)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dannitol (Phenobarbital +Atropine)

26. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

27. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tetracycline Doxycycline Demeclocycline Minocycline

28. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

29. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
10-20 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Gemofibrozil Fenofibrate Clofibrate

30. Treatment for pre-diabetes
Flagyl (Metronidazole)
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

31. Name the intermediate acting benzodiazepines
Tricyclics
1. DTaP 2. PCV
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)

32. What can be used to prevent coagulation
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1.5
1. 12-15 months 2. 4-6 years

33. name the SSRI's
1. Birth 2. 1-2 months 3. 6-18 months
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

34. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vistaril (hydroxyzine)

35. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurogen (Filgastim)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Nomanda (memantine) Exelon (Rivastigmine)

36. Withdrawal symptoms
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vistaril (hydroxyzine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

37. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

38. What can be used to treat against C-difference in addition to parasites and other bacteria.
Pregabalin
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)

39. What can be used to relax muscles associated with tension head aches
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Statins (18-55% reduction)

40. What can be used for cough suppression
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)

41. Name the fibric acids
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Gemofibrozil Fenofibrate Clofibrate
Vistaril (hydroxyzine)
2 months 4 months

42. What class of drugs will lower LDL the most
Provigil (modafinil)
Tessalon (benzonate)
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

43. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval

44. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)
Dolgic (Acetamenaphen + butabital)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

45. Erythematous Nodosum
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

46. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline

47. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
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
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

48. Name the bile acid sequestrants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tricyclics
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam

49. What ages are the Rotavirus vaccine given
1.5
2 months 4 months
1. 12-24 months 2. 6-18 months after initial dose
1. DTaP 2. PCV

50. What is Pradaxa
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years