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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. When should the varicella virus vaccine be administered
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)

2. What are the effects of the bile acid sequestrants
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)
Statins (18-55% reduction)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

3. What can be used for nausea
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
SSRI's
Zanaflex (tizanidine)

4. Pediatric Hepatitis vaccinations should be given when?
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

5. What ages the are the DTaP vaccine given
SSRI's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)

6. What can be used for cough suppression
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

7. What can be used to increase WBC counts
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2-8 hours
Debrox (carbamide peroxide)
Neurogen (Filgastim)

8. What drug can be used for cardioversion with structural heart disease
Tetracycline Doxycycline Demeclocycline Minocycline
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

9. What are the effects of fibric acids
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

10. What are the effects of nicotinic acid
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

11. What can be used to treat ADHD
Vistaril (hydroxyzine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vyvanse (lisdexamphetamine)

12. What is the duration action of intermediate acting benzo's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
10-20 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
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

13. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Cholestyramine Colestipol Colesevalam

14. What is the effect of the statins
Flagyl (Metronidazole)
Dolgic (Acetamenaphen + butabital)
Pregabalin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

15. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours
SSRI's

16. High blood pressure
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)
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. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

17. What are the 2nd generation heterocyclic Anti depressants
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

18. When should the HEP A vaccine be administered
Flecanide. Not to be used with LV insufficiency
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose

19. How do you treat low magnesium and low potassium in the hospital setting
2 months 4 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)

20. What needs to be considered when treating a patient long term with lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

21. What are the first generation anti depressants
Block serotonin and Nor epinephrine
Temazepam (Reston) Lorazepam (Ativan)
Tricyclics
Proscar (finasteride)

22. What is the first line treatment for depression

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23. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

24. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 12-15 months
Tricyclics
Dannitol (Phenobarbital +Atropine)

25. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics
Nomanda (memantine) Exelon (Rivastigmine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

26. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Erythromycin Clarithromycin Azithromycin

27. What are the 6 month pediatric vaccines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flagyl (Metronidazole)
STOP THE METFORMIN
1. DTaP 2. PCV

28. name a central acting muscle relaxant
Vyvanse (lisdexamphetamine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zanaflex (tizanidine)

29. What's the difference between CMP and BMP
1. DTaP 2. PCV
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)

30. What can be used for BPH
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)
Suboxone (Buprenorphine)
Proscar (finasteride)

31. What ages are the Rotavirus vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
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)
2 months 4 months

32. What is Pradaxa
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

33. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Flagyl (Metronidazole)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

34. What are some options for pain control
Neurogen (Filgastim)
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

35. Name the tetracyclines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tetracycline Doxycycline Demeclocycline Minocycline

36. Drug addiction and withdrawal
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose
Suboxone (Buprenorphine)
Debrox (carbamide peroxide)

37. What are the 4 month pediatric vaccines
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

38. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Flecanide. Not to be used with LV insufficiency
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

39. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours
Tricyclics

40. What is the benefit of Welchol
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

41. What can be used to prevent coagulation
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. DTaP 2. PCV
1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

42. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

43. IBS
Flagyl (Metronidazole)
Dannitol (Phenobarbital +Atropine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tessalon (benzonate)

44. Name the intermediate acting benzodiazepines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)
SSRI's
Suboxone (Buprenorphine)

45. Erythematous Nodosum
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

46. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurontin (gabapentin) Lyrica (Pregabalin)

47. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Flagyl (Metronidazole)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
STOP THE METFORMIN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

48. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Provigil (modafinil)
10-20 hours
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

49. What can be used to treat against C-difference in addition to parasites and other bacteria.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

50. Name the short acting benzodiazepines
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics