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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 2nd generation heterocyclic Anti depressants
10-20 hours
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
Erythromycin Clarithromycin Azithromycin

2. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
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
STOP THE METFORMIN

3. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
STOP THE METFORMIN

4. Name the bile acid sequestrants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2-8 hours
1.5
Cholestyramine Colestipol Colesevalam

5. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1.5
Vyvanse (lisdexamphetamine)

6. When should the HEP A vaccine be administered
Tessalon (benzonate)
Flecanide. Not to be used with LV insufficiency
Neurogen (Filgastim)
1. 12-24 months 2. 6-18 months after initial dose

7. What can be used for BPH
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vistaril (hydroxyzine)
Proscar (finasteride)
Flagyl (Metronidazole)

8. Name the fibric acids
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Gemofibrozil Fenofibrate Clofibrate

9. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
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
Flagyl (Metronidazole)

10. What is the max creatinine clearance level for metformin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1.5
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

11. What can be used for cough suppression
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tessalon (benzonate)
1.5
Nomanda (memantine) Exelon (Rivastigmine)

12. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Statins (18-55% reduction)

13. What are the ages for the pneumococcal vaccine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

14. Erythematous Nodosum
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency
Pregabalin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

15. What needs to be considered when treating a patient long term with lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Provigil (modafinil)

16. Withdrawal symptoms
Vistaril (hydroxyzine)
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

17. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

18. High blood pressure
1.5
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
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

19. What can be used to prevent coagulation
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

20. name the SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)
Gemofibrozil Fenofibrate Clofibrate

21. What is the benefit of Welchol
Pregabalin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)

22. What is used to clean ears
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)
Debrox (carbamide peroxide)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

23. 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
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

24. What can be used to treat against C-difference in addition to parasites and other bacteria.
STOP THE METFORMIN
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

25. Name the aminoglycoside
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)

26. What are the 4 month pediatric vaccines
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

27. What are some causes of pitting edema
Suboxone (Buprenorphine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

28. What is the first line treatment for depression

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29. What are the first generation anti depressants
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

30. What is the duration of short acting benzo's
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
2-8 hours
Temazepam (Reston) Lorazepam (Ativan)

31. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Debrox (carbamide peroxide)
2 months 4 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

32. What are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine
Zofran (Ondansetron) Reglam (metoclopromide)

33. What are the effects of nicotinic acid
Tricyclics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

34. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

35. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dannitol (Phenobarbital +Atropine)

36. Name the long acting benzodiazepines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)

37. What is Pradaxa
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. DTaP 2. PCV
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

38. What can be used to relax muscles associated with tension head aches
Provigil (modafinil)
Vistaril (hydroxyzine)
Dolgic (Acetamenaphen + butabital)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

39. Name the tetracyclines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tetracycline Doxycycline Demeclocycline Minocycline

40. What drug can be used for cardioversion with structural heart disease
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1.5
Vyvanse (lisdexamphetamine)

41. What are the ages that the measles mumps and rubella vaccine administered
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zanaflex (tizanidine)

42. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

43. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years

44. What are the 2 month pediatric vaccines
Tetracycline Doxycycline Demeclocycline Minocycline
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

45. What drug can be used to cardiovert AF of short duration
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Flecanide. Not to be used with LV insufficiency

46. What is an FDA approved prescription weight loss drug
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flecanide. Not to be used with LV insufficiency

47. Name the macrolides
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years

48. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin

49. When should the varicella virus vaccine be administered
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

50. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP