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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

2. What drug can be used for cardioversion with structural heart disease
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)

3. What is the max creatinine clearance level for metformin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate
1.5

4. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
Zanaflex (tizanidine)

5. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Zanaflex (tizanidine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine
1. DTaP 2. PCV

6. What are the 4 month pediatric vaccines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV
10-20 hours

7. What is a severe side effect of metformin
Provigil (modafinil)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

8. IBS
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

9. What needs to be considered when treating a patient long term with lasics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours

10. What are the 3rd generation heterocyclic Anti depressants
STOP THE METFORMIN
SSRI's
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

11. name a central acting muscle relaxant
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zanaflex (tizanidine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Proscar (finasteride)

12. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 12-15 months
Erythromycin Clarithromycin Azithromycin
Tricyclics

13. Pediatric Hepatitis vaccinations should be given when?
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years

14. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
STOP THE METFORMIN
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

15. Problems with welchol and diabetes
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
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%)

16. What can be used for cough suppression
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)
Tessalon (benzonate)
1. 2 months 2. 4 months 3. 12-15 months

17. Neuropathic Pain management
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

18. What is the first line treatment for depression

19. What can be used for nausea
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

20. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Cholestyramine Colestipol Colesevalam
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
STOP THE METFORMIN

21. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flecanide. Not to be used with LV insufficiency
Tricyclics

22. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Zanaflex (tizanidine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

23. What are the ages that the measles mumps and rubella vaccine administered
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
10-20 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

24. What class of drugs will lower LDL the most
1. 12-24 months 2. 6-18 months after initial dose
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tessalon (benzonate)
Statins (18-55% reduction)

25. What ages are the Hep B vaccine given
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam

26. What can be used to increase WBC counts
Neurogen (Filgastim)
1. 12-24 months 2. 6-18 months after initial dose
Gemofibrozil Fenofibrate Clofibrate
10-20 hours

27. Name the tetracyclines
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)

28. What is the duration of short acting benzo's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pregabalin
Suboxone (Buprenorphine)
2-8 hours

29. What are the effects of fibric acids
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

30. Name the short acting benzodiazepines
Proscar (finasteride)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

31. Drug addiction and withdrawal
Neurontin (gabapentin) Lyrica (Pregabalin)
Statins (18-55% reduction)
SSRI's
Suboxone (Buprenorphine)

32. Withdrawal symptoms
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)

33. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

34. What are the first generation anti depressants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Erythromycin Clarithromycin Azithromycin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tricyclics

35. What are the 2nd generation heterocyclic Anti depressants
1. Birth 2. 1-2 months 3. 6-18 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

36. What are anticoagulation treatment options
Pregabalin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

37. What can be used to treat ADHD
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

38. Name the long acting benzodiazepines
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

39. What's the difference between CMP and BMP
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
Tricyclics
A CMP is a BMP (kidney - electrolytes) PLUS liver function

40. What are some options for pain control
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Gemofibrozil Fenofibrate Clofibrate
2-8 hours

41. Name the intermediate acting benzodiazepines
STOP THE METFORMIN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

42. What ages the are the DTaP vaccine given
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. DTaP 2. PCV
Zanaflex (tizanidine)

43. What are the 6 month pediatric vaccines
1. Birth 2. 1-2 months 3. 6-18 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 12-15 months

44. What is used to clean ears
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine
1.5
Debrox (carbamide peroxide)

45. What is an FDA approved prescription weight loss drug
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Provigil (modafinil)

46. What is the effect of the statins
SSRI's
Suboxone (Buprenorphine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2-8 hours

47. Treatment for pre-diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

48. What is Pradaxa
1. DTaP 2. PCV
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

49. Erythematous Nodosum
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zanaflex (tizanidine)

50. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-24 months 2. 6-18 months after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2-8 hours