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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. Pediatric Hepatitis vaccinations should be given when?
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vistaril (hydroxyzine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks 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

2. Name the intermediate acting benzodiazepines
2-8 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Gemofibrozil Fenofibrate Clofibrate
Temazepam (Reston) Lorazepam (Ativan)

3. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zofran (Ondansetron) Reglam (metoclopromide)

4. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months

5. What can be used for BPH
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Proscar (finasteride)
10-20 hours
1. DTaP 2. PCV

6. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vyvanse (lisdexamphetamine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

7. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zanaflex (tizanidine)
Tricyclics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

8. What are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
STOP THE METFORMIN
Flagyl (Metronidazole)

9. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. 12-15 months 2. 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
Block serotonin and Nor epinephrine

10. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

11. What is used to clean ears
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

12. What are the ages for the Hib vaccine
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months

13. What ages are the Hep B vaccine given
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Neurogen (Filgastim)

14. What are the 3rd generation heterocyclic Anti depressants
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
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

15. name the SSRI's
1. 2 months 2. 4 months 3. 12-15 months
2-8 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

16. When should the varicella virus vaccine be administered
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
Proscar (finasteride)
1. 12-15 months 2. 4-6 years

17. Neuropathic Pain management
Proscar (finasteride)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Neurontin (gabapentin) Lyrica (Pregabalin)
Vistaril (hydroxyzine)

18. What ages the are the DTaP vaccine given
Tessalon (benzonate)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

19. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

20. Name the long acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

21. What can be used to treat against C-difference in addition to parasites and other bacteria.
Proscar (finasteride)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)

22. name a central acting muscle relaxant
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. DTaP 2. PCV
Zanaflex (tizanidine)

23. Withdrawal symptoms
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5

24. What is the benefit of Welchol
Gemofibrozil Fenofibrate Clofibrate
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 months 3. 6-18 months

25. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
2-8 hours

26. Name the macrolides
STOP THE METFORMIN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

27. What ages are the Rotavirus vaccine given
Proscar (finasteride)
2 months 4 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

28. What can be used for nausea
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline
10-20 hours
Zofran (Ondansetron) Reglam (metoclopromide)

29. What are the ages for the inactivated poliovirus
Tessalon (benzonate)
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

30. What is the effect of the statins
2 months 4 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

31. What's the difference between CMP and BMP
2 months 4 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
Statins (18-55% reduction)

32. What drug is used to tx narcolepsy
Provigil (modafinil)
STOP THE METFORMIN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

33. What are the effects of fibric acids
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

34. What can be used for cough suppression
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tessalon (benzonate)
Gemofibrozil Fenofibrate Clofibrate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

35. Treatment for pre-diabetes
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zofran (Ondansetron) Reglam (metoclopromide)

36. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Vyvanse (lisdexamphetamine)
STOP THE METFORMIN
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

37. 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
SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flagyl (Metronidazole)

38. What drug can be used for cardioversion with structural heart disease
2-8 hours
1. Birth 2. 1-2 months 3. 6-18 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

39. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
10-20 hours

40. How do you treat low magnesium and low potassium in the hospital setting
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

41. What are some options for pain control
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

42. What are the 6 month pediatric vaccines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Temazepam (Reston) Lorazepam (Ativan)
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

43. What is the first line treatment for depression

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44. What are the 2nd generation heterocyclic Anti depressants
Dannitol (Phenobarbital +Atropine)
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 months 4 months

45. What are the first generation anti depressants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. DTaP 2. PCV
Vistaril (hydroxyzine)
Tricyclics

46. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
2-8 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)

47. What is the duration action of intermediate acting benzo's
Debrox (carbamide peroxide)
10-20 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Block serotonin and Nor epinephrine

48. What can be used to increase WBC counts
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zanaflex (tizanidine)
Neurogen (Filgastim)
Pregabalin

49. What are some causes of pitting edema
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

50. Name the short acting benzodiazepines
Vistaril (hydroxyzine)
Provigil (modafinil)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)