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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 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years

2. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Provigil (modafinil)
Statins (18-55% reduction)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

3. What are anticoagulation treatment options
1. 12-15 months 2. 4-6 years
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Trazodone (Desyrel) Buproprion (Wellbutrin)

4. What are the 4 month pediatric vaccines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

5. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
Block serotonin and Nor epinephrine
Erythromycin Clarithromycin Azithromycin

6. What are some options for pain control
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flecanide. Not to be used with LV insufficiency
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

7. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dolgic (Acetamenaphen + butabital)

8. How do you treat low magnesium and low potassium in the hospital setting
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Erythromycin Clarithromycin Azithromycin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

9. What drug can be used for cardioversion with structural heart disease
Tessalon (benzonate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 months 3. 6-18 months

10. IBS
Provigil (modafinil)
Zofran (Ondansetron) Reglam (metoclopromide)
Dannitol (Phenobarbital +Atropine)
Statins (18-55% reduction)

11. What is the duration of short acting benzo's
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
2-8 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

12. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

13. Name the fibric acids
Provigil (modafinil)
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

14. What are the effects of the bile acid sequestrants
Flecanide. Not to be used with LV insufficiency
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pregabalin

15. Withdrawal symptoms
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

16. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

17. What is the first line treatment for depression

18. What is the max creatinine clearance level for metformin
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2-8 hours
1.5

19. What ages are the Rotavirus vaccine given
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
2 months 4 months
10-20 hours

20. What are the 6 month pediatric vaccines
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. DTaP 2. PCV
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vistaril (hydroxyzine)

21. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

22. Name the macrolides
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

23. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. What are the effects of nicotinic acid
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 months 4 months

25. What are the ages for the Hib vaccine
Statins (18-55% reduction)
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 12-15 months

26. What is used to clean ears
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Block serotonin and Nor epinephrine
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

27. What needs to be considered when treating a patient long term with lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Block serotonin and Nor epinephrine
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

28. What are the 3rd generation heterocyclic Anti depressants
Nomanda (memantine) Exelon (Rivastigmine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

29. Erythematous Nodosum
Proscar (finasteride)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1.5
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

30. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

31. What are some causes of pitting edema
Tetracycline Doxycycline Demeclocycline Minocycline
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's

32. What are the first generation anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 months 3. 6-18 months
Tricyclics

33. Name the statins
Debrox (carbamide peroxide)
2-8 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

34. What is the duration action of intermediate acting benzo's
Erythromycin Clarithromycin Azithromycin
Debrox (carbamide peroxide)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
10-20 hours

35. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Trazodone (Desyrel) Buproprion (Wellbutrin)

36. What's the difference between CMP and BMP
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A CMP is a BMP (kidney - electrolytes) PLUS liver function

37. What are the ages that the measles mumps and rubella vaccine administered
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

38. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Vyvanse (lisdexamphetamine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

39. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Provigil (modafinil)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

40. What can be used to treat ADHD
2 months 4 months
Zofran (Ondansetron) Reglam (metoclopromide)
Vyvanse (lisdexamphetamine)
Erythromycin Clarithromycin Azithromycin

41. What can be used to prevent coagulation
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Vistaril (hydroxyzine)

42. What are the ages for the pneumococcal vaccine
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zanaflex (tizanidine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. Name the tetracyclines
2 months 4 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline

44. Name the aminoglycoside
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
Zanaflex (tizanidine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

45. What can be used for BPH
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)

46. What can be used for cough suppression
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tessalon (benzonate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

47. When should the HEP A vaccine be administered
2 months 4 months
1.5
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose

48. What are the effects of fibric acids
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

49. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

50. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zofran (Ondansetron) Reglam (metoclopromide)