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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 can be used to increase WBC counts
Neurogen (Filgastim)
Debrox (carbamide peroxide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 12-15 months

2. What are the ages for the pneumococcal vaccine
Provigil (modafinil)
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

3. What is the duration of short 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)
2-8 hours

4. What are some options for pain control
Flagyl (Metronidazole)
Nomanda (memantine) Exelon (Rivastigmine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

5. What are the effects of nicotinic acid
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

6. What is Pradaxa
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Debrox (carbamide peroxide)
Flagyl (Metronidazole)

7. Name the long acting benzodiazepines
2-8 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1.5

8. What class of drugs will lower LDL the most
Vistaril (hydroxyzine)
Statins (18-55% reduction)
Trazodone (Desyrel) Buproprion (Wellbutrin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

9. Drug addiction and withdrawal
1. 12-15 months 2. 4-6 years
SSRI's
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

10. Erythematous Nodosum
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

11. When should the varicella virus vaccine be administered
Tessalon (benzonate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years

12. What are the 3rd generation heterocyclic Anti depressants
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Temazepam (Reston) Lorazepam (Ativan)

13. What are anticoagulation treatment options
1. 12-24 months 2. 6-18 months after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

14. What are the ages for the Hib vaccine
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)

15. What ages the are the DTaP vaccine given
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

16. What are the first generation anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency
2 months 4 months
Tricyclics

17. Name the tetracyclines
Neurontin (gabapentin) Lyrica (Pregabalin)
Tetracycline Doxycycline Demeclocycline Minocycline
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

18. Withdrawal symptoms
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vistaril (hydroxyzine)

19. How do you treat low magnesium and low potassium in the hospital setting
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tessalon (benzonate)
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

20. Problems with welchol and diabetes
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Statins (18-55% reduction)

21. What are the 4 month pediatric vaccines
Erythromycin Clarithromycin Azithromycin
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)

22. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
Proscar (finasteride)

23. What needs to be considered when treating a patient long term with lasics
2 months 4 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Flagyl (Metronidazole)
2-8 hours

24. What can be used to prevent coagulation
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months

25. What is the max creatinine clearance level for metformin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose
STOP THE METFORMIN
1.5

26. What is an FDA approved prescription weight loss drug
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

27. What's the difference between CMP and BMP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
STOP THE METFORMIN
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

28. When should the HEP A vaccine be administered
Tessalon (benzonate)
1. 12-24 months 2. 6-18 months after initial dose
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine

29. What can be used to improve memory
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
STOP THE METFORMIN
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)

30. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Nomanda (memantine) Exelon (Rivastigmine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pregabalin

31. What is used to clean ears
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)
Debrox (carbamide peroxide)

32. Name the statins
Provigil (modafinil)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

33. Treatment for pre-diabetes
Pregabalin
Vyvanse (lisdexamphetamine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

34. name the SSRI's
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)
Vyvanse (lisdexamphetamine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

35. What are the ages that the measles mumps and rubella vaccine administered
Zanaflex (tizanidine)
Provigil (modafinil)
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

36. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)
Zofran (Ondansetron) Reglam (metoclopromide)

37. Name the fibric acids
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate

38. What is a severe side effect of metformin
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

39. What can be used for BPH
Proscar (finasteride)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Flagyl (Metronidazole)

40. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine

41. What are some causes of pitting edema
Pregabalin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurontin (gabapentin) Lyrica (Pregabalin)
Tetracycline Doxycycline Demeclocycline Minocycline

42. What ages are the Rotavirus vaccine given
Dolgic (Acetamenaphen + butabital)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vyvanse (lisdexamphetamine)
2 months 4 months

43. What drug is used to tx narcolepsy
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Provigil (modafinil)
Flecanide. Not to be used with LV insufficiency

44. What is the first line treatment for depression

45. What is the benefit of Welchol
Flagyl (Metronidazole)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

46. What can be used for cough suppression
Tessalon (benzonate)
2-8 hours
Tetracycline Doxycycline Demeclocycline Minocycline
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

47. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Zofran (Ondansetron) Reglam (metoclopromide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

48. What are the 6 month pediatric vaccines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Gemofibrozil Fenofibrate Clofibrate
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

49. Pediatric Hepatitis vaccinations should be given when?
1. 12-24 months 2. 6-18 months after initial dose
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)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

50. What are the ages for the inactivated poliovirus
1. Birth 2. 1-2 months 3. 6-18 months
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years