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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 effects of fibric acids
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

2. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
Statins (18-55% reduction)
1. DTaP 2. PCV

3. What ages are the Rotavirus vaccine given
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function

4. What can be used for BPH
Proscar (finasteride)
Nomanda (memantine) Exelon (Rivastigmine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
10-20 hours

5. What are the ages for the pneumococcal vaccine
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

6. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Block serotonin and Nor epinephrine
Vyvanse (lisdexamphetamine)

7. Name the long acting benzodiazepines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Statins (18-55% reduction)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

8. 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
Tricyclics
Dannitol (Phenobarbital +Atropine)

9. Name the short acting benzodiazepines
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2-8 hours
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

10. What is an FDA approved prescription weight loss drug
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

11. What are the 2 month pediatric vaccines
Suboxone (Buprenorphine)
Vistaril (hydroxyzine)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

12. What are the ages for the inactivated poliovirus
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

13. Name the macrolides
SSRI's
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Erythromycin Clarithromycin Azithromycin

14. What are anticoagulation treatment options
Neurogen (Filgastim)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

15. What ages the are the DTaP vaccine given
Dannitol (Phenobarbital +Atropine)
Zanaflex (tizanidine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

16. What is the first line treatment for depression

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17. 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
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tricyclics
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

18. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Erythromycin Clarithromycin Azithromycin

19. What are some causes of pitting edema
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. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)

20. What can be used to increase WBC counts
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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
STOP THE METFORMIN
Neurogen (Filgastim)

21. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

22. Problems with welchol and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1.5

23. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dannitol (Phenobarbital +Atropine)
Vistaril (hydroxyzine)

24. What's the difference between CMP and BMP
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months

25. Erythematous Nodosum
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV

26. IBS
Dannitol (Phenobarbital +Atropine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
STOP THE METFORMIN

27. What is the benefit of Welchol
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 months 4 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

28. What is used to clean ears
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Proscar (finasteride)

29. What is a severe side effect of metformin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Zanaflex (tizanidine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

30. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pregabalin
1. 12-15 months 2. 4-6 years

31. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Debrox (carbamide peroxide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Statins (18-55% reduction)

32. 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
Vyvanse (lisdexamphetamine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
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

33. What can be used to improve memory
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years

34. What needs to be considered when treating a patient long term with lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years

35. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1.5
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)

36. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

37. What can be used for cough suppression
Debrox (carbamide peroxide)
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tessalon (benzonate)

38. What are the ages that the measles mumps and rubella vaccine administered
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 12-15 months

39. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
STOP THE METFORMIN
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

40. What is the effect of the statins
Vistaril (hydroxyzine)
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

41. What drug is used to tx narcolepsy
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

42. What can be used to treat against C-difference in addition to parasites and other bacteria.
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zanaflex (tizanidine)
SSRI's
Flagyl (Metronidazole)

43. High blood pressure
Flecanide. Not to be used with LV insufficiency
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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)

44. What are the effects of the bile acid sequestrants
Statins (18-55% reduction)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Provigil (modafinil)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

45. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Dannitol (Phenobarbital +Atropine)
Gemofibrozil Fenofibrate Clofibrate
A CMP is a BMP (kidney - electrolytes) PLUS liver function

46. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dolgic (Acetamenaphen + butabital)
Debrox (carbamide peroxide)

47. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Tricyclics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5

48. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Proscar (finasteride)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 12-15 months

49. What drug can be used for cardioversion with structural heart disease
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dolgic (Acetamenaphen + butabital)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

50. What is the duration action of intermediate acting benzo's
10-20 hours
STOP THE METFORMIN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years

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