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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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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 the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 12-15 months
Vyvanse (lisdexamphetamine)
Nomanda (memantine) Exelon (Rivastigmine)

2. What is an FDA approved prescription weight loss drug
Nomanda (memantine) Exelon (Rivastigmine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam

3. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 12-24 months 2. 6-18 months after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flagyl (Metronidazole)
Temazepam (Reston) Lorazepam (Ativan)

4. Name the tetracyclines
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Statins (18-55% reduction)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline

5. What is the duration action of intermediate acting benzo's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
10-20 hours

6. What drug can be used to cardiovert AF of short duration
Provigil (modafinil)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flecanide. Not to be used with LV insufficiency

7. What is the benefit of Welchol
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
SSRI's
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

8. Name the bile acid sequestrants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Cholestyramine Colestipol Colesevalam

9. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dannitol (Phenobarbital +Atropine)

10. Neuropathic Pain management
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. DTaP 2. PCV
Vistaril (hydroxyzine)

11. What are the ages that the measles mumps and rubella vaccine administered
Tricyclics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

12. Name the short acting benzodiazepines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dannitol (Phenobarbital +Atropine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

13. Withdrawal symptoms
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)

14. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
Neurontin (gabapentin) Lyrica (Pregabalin)

15. What can be used to improve memory
SSRI's
Nomanda (memantine) Exelon (Rivastigmine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

16. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
2-8 hours
Pregabalin

17. Drug addiction and withdrawal
Gemofibrozil Fenofibrate Clofibrate
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
SSRI's
Suboxone (Buprenorphine)

18. High blood pressure
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Vyvanse (lisdexamphetamine)
Proscar (finasteride)
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

19. What are anticoagulation treatment options
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)

20. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Cholestyramine Colestipol Colesevalam
Block serotonin and Nor epinephrine
Dannitol (Phenobarbital +Atropine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

21. Name the macrolides
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin

22. What drug is used to tx narcolepsy
Provigil (modafinil)
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

23. How do you treat low magnesium and low potassium in the hospital setting
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Gemofibrozil Fenofibrate Clofibrate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 months 3. 6-18 months

24. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dannitol (Phenobarbital +Atropine)
Zofran (Ondansetron) Reglam (metoclopromide)
Temazepam (Reston) Lorazepam (Ativan)

25. What are the 3rd generation heterocyclic Anti depressants
1. DTaP 2. PCV
Neurogen (Filgastim)
Statins (18-55% reduction)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

26. What ages the are the DTaP vaccine given
2 months 4 months
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flagyl (Metronidazole)

27. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
1. DTaP 2. PCV
Statins (18-55% reduction)

28. What is the first line treatment for depression

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29. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurogen (Filgastim)
1. DTaP 2. PCV
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

30. If a patient is on metformin and about to undergo contrast imaging - what must be done.
10-20 hours
Zanaflex (tizanidine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
STOP THE METFORMIN

31. name a central acting muscle relaxant
Zanaflex (tizanidine)
Tricyclics
Flecanide. Not to be used with LV insufficiency
Vyvanse (lisdexamphetamine)

32. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Temazepam (Reston) Lorazepam (Ativan)
Dolgic (Acetamenaphen + butabital)

33. Name the long acting benzodiazepines
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

34. What can be used to prevent coagulation
1. Birth 2. 1-2 months 3. 6-18 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Proscar (finasteride)
Cholestyramine Colestipol Colesevalam

35. 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
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

36. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tricyclics
Suboxone (Buprenorphine)
Statins (18-55% reduction)

37. What can be used for nausea
Flagyl (Metronidazole)
Zofran (Ondansetron) Reglam (metoclopromide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

38. What are the effects of nicotinic acid
Dannitol (Phenobarbital +Atropine)
Dolgic (Acetamenaphen + butabital)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

39. What can be used for BPH
Flagyl (Metronidazole)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Proscar (finasteride)
Block serotonin and Nor epinephrine

40. What are the ages for the pneumococcal vaccine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)

41. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)
Neurontin (gabapentin) Lyrica (Pregabalin)

42. Pediatric Hepatitis vaccinations should be given when?
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Debrox (carbamide peroxide)
1.5

43. What drug can be used for cardioversion with structural heart disease
STOP THE METFORMIN
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)

44. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Proscar (finasteride)

45. When should the varicella virus vaccine be administered
Erythromycin Clarithromycin Azithromycin
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years
Provigil (modafinil)

46. What is the duration of short acting benzo's
1. 12-15 months 2. 4-6 years
2-8 hours
Neurogen (Filgastim)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

47. What class of drugs will lower LDL the most
Statins (18-55% reduction)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

48. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months
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%)

49. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Proscar (finasteride)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

50. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1.5
Flagyl (Metronidazole)
Flecanide. Not to be used with LV insufficiency

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