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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. Withdrawal symptoms
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)
Vistaril (hydroxyzine)

2. Pediatric Hepatitis vaccinations should be given when?
A CMP is a BMP (kidney - electrolytes) PLUS liver function
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

3. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)
Dolgic (Acetamenaphen + butabital)
Flagyl (Metronidazole)

4. What class of drugs will lower LDL the most
Flagyl (Metronidazole)
Block serotonin and Nor epinephrine
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

5. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Block serotonin and Nor epinephrine
Temazepam (Reston) Lorazepam (Ativan)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

6. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. Birth 2. 1-2 months 3. 6-18 months
Flagyl (Metronidazole)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

7. What can be used to improve memory
2-8 hours
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

8. What is the max creatinine clearance level for metformin
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1.5

9. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

10. Erythematous Nodosum
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dannitol (Phenobarbital +Atropine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

11. What are the ages for the pneumococcal vaccine
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

12. What can be used for BPH
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 12-15 months
Proscar (finasteride)

13. What is the duration action of intermediate acting benzo's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours
Proscar (finasteride)

14. name a central acting muscle relaxant
Zanaflex (tizanidine)
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1.5

15. When should the varicella virus vaccine be administered
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
10-20 hours
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years

16. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

17. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tricyclics

18. What can be used to prevent coagulation
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Ibutilide (IV Only). It prolongs repolarization and the QT interval

19. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
STOP THE METFORMIN
Flecanide. Not to be used with LV insufficiency
Statins (18-55% reduction)

20. What is used to clean ears
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Debrox (carbamide peroxide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

21. IBS
Temazepam (Reston) Lorazepam (Ativan)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)

22. Name the short acting benzodiazepines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years

23. High blood pressure
Debrox (carbamide peroxide)
Tessalon (benzonate)
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

24. What are the 6 month pediatric vaccines
Block serotonin and Nor epinephrine
1. DTaP 2. PCV
Vistaril (hydroxyzine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

25. What are the effects of fibric acids
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

26. What are the 4 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours

27. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

28. Name the tetracyclines
Tricyclics
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

29. What is the duration of short acting benzo's
Flagyl (Metronidazole)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tetracycline Doxycycline Demeclocycline Minocycline
2-8 hours

30. What is the effect of the statins
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

31. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zanaflex (tizanidine)
Trazodone (Desyrel) Buproprion (Wellbutrin)

32. What are the ages that the measles mumps and rubella vaccine administered
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)

33. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Block serotonin and Nor epinephrine
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

34. What is Pradaxa
Provigil (modafinil)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

35. What are the 2 month pediatric vaccines
Cholestyramine Colestipol Colesevalam
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
SSRI's

36. Drug addiction and withdrawal
Suboxone (Buprenorphine)
SSRI's
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurontin (gabapentin) Lyrica (Pregabalin)

37. How do you treat low magnesium and low potassium in the hospital setting
Flagyl (Metronidazole)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-24 months 2. 6-18 months after initial dose
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

38. What ages are the Rotavirus vaccine given
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 months 4 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

39. What can be used for cough suppression
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

40. Name the macrolides
SSRI's
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)

41. What are the ages for the Hib vaccine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)

42. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

43. Name the long acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zanaflex (tizanidine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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

45. What are the first generation anti depressants
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

46. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
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
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

47. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

48. What needs to be considered when treating a patient long term with lasics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Tessalon (benzonate)
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

49. What is a severe side effect of metformin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

50. Treatment for pre-diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
10-20 hours
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zofran (Ondansetron) Reglam (metoclopromide)