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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 HEP A vaccine be administered
Trazodone (Desyrel) Buproprion (Wellbutrin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-24 months 2. 6-18 months after initial dose

2. What is used to clean ears
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

3. What is the first line treatment for depression

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4. What can be used to treat ADHD
1. 2 months 2. 4 months 3. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
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

5. What are anticoagulation treatment options
Vyvanse (lisdexamphetamine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

6. Name the tetracyclines
Tessalon (benzonate)
Tetracycline Doxycycline Demeclocycline Minocycline
Cholestyramine Colestipol Colesevalam
Dolgic (Acetamenaphen + butabital)

7. What are the ages that the measles mumps and rubella vaccine administered
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years
Neurogen (Filgastim)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

8. IBS
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dannitol (Phenobarbital +Atropine)

9. Problems with welchol and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. Erythematous Nodosum
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)

12. What drug can be used for cardioversion with structural heart disease
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

13. What class of drugs will lower LDL the most
1. DTaP 2. PCV
Statins (18-55% reduction)
Temazepam (Reston) Lorazepam (Ativan)
Vyvanse (lisdexamphetamine)

14. What is the duration of short acting benzo's
2-8 hours
Proscar (finasteride)
Debrox (carbamide peroxide)
Statins (18-55% reduction)

15. What are some options for pain control
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)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months

16. What can be used to prevent coagulation
Tessalon (benzonate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

17. Pediatric Hepatitis vaccinations should be given when?
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Proscar (finasteride)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. What are the ages for the inactivated poliovirus
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

19. What ages the are the DTaP vaccine given
Ibutilide (IV Only). It prolongs repolarization and the QT interval
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

20. What is the max creatinine clearance level for metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vistaril (hydroxyzine)

21. What are the effects of nicotinic acid
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

22. Treatment for pre-diabetes
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

23. Withdrawal symptoms
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vistaril (hydroxyzine)
10-20 hours

24. High blood pressure
1. DTaP 2. PCV
Zofran (Ondansetron) Reglam (metoclopromide)
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
Neurogen (Filgastim)

25. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

26. What are the ages for the pneumococcal vaccine
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6-18 months 4. 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

27. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Temazepam (Reston) Lorazepam (Ativan)

28. What needs to be considered when treating a patient long term with lasics
Vyvanse (lisdexamphetamine)
10-20 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Statins (18-55% reduction)

30. What are the effects of fibric acids
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose

31. Drug addiction and withdrawal
1.5
Suboxone (Buprenorphine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

32. What can be used to increase WBC counts
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months
SSRI's
Neurogen (Filgastim)

33. What are the 2 month pediatric vaccines
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin

34. What ages are the Rotavirus vaccine given
2 months 4 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

35. What is the benefit of Welchol
Suboxone (Buprenorphine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
10-20 hours

36. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Provigil (modafinil)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours

37. What are some causes of pitting edema
Block serotonin and Nor epinephrine
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
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Provigil (modafinil)

38. How do you treat low magnesium and low potassium in the hospital setting
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zanaflex (tizanidine)
2-8 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

39. What are the 4 month pediatric vaccines
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)

40. Name the intermediate acting benzodiazepines
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
Block serotonin and Nor epinephrine
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

41. What are the first generation anti depressants
Tricyclics
Erythromycin Clarithromycin Azithromycin
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

42. What is an FDA approved prescription weight loss drug
Neurontin (gabapentin) Lyrica (Pregabalin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

43. What can be used for cough suppression
Vyvanse (lisdexamphetamine)
SSRI's
Tessalon (benzonate)
Statins (18-55% reduction)

44. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN
Vistaril (hydroxyzine)

45. Name the fibric acids
Dolgic (Acetamenaphen + butabital)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate
1. 12-24 months 2. 6-18 months after initial dose

46. Name the statins
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months

47. What is the effect of the statins
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurontin (gabapentin) Lyrica (Pregabalin)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

48. Name the aminoglycoside
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years

49. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Block serotonin and Nor epinephrine

50. Name the long acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)