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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 is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. 12-15 months 2. 4-6 years
Pregabalin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

2. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)
Flagyl (Metronidazole)
Provigil (modafinil)

3. What ages are the Hep B vaccine given
Dannitol (Phenobarbital +Atropine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months

4. Name the bile acid sequestrants
1. 2 months 2. 4 months 3. 12-15 months
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years
Tricyclics

5. What is an FDA approved prescription weight loss drug
1. DTaP 2. PCV
Tetracycline Doxycycline Demeclocycline Minocycline
Gemofibrozil Fenofibrate Clofibrate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

6. What class of drugs will lower LDL the most
Proscar (finasteride)
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin
Neurontin (gabapentin) Lyrica (Pregabalin)

7. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Pregabalin

8. What are the 6 month pediatric vaccines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
1. DTaP 2. PCV

9. What is the first line treatment for depression

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10. Name the aminoglycoside
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

11. What are the effects of nicotinic acid
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

12. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Flecanide. Not to be used with LV insufficiency

13. What are some options for pain control
1. 12-24 months 2. 6-18 months after initial dose
2 months 4 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

14. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

15. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Provigil (modafinil)
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

16. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
Debrox (carbamide peroxide)
Cholestyramine Colestipol Colesevalam

17. What are the ages for the inactivated poliovirus
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2-8 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

18. What can be used for nausea
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

19. IBS
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
Tricyclics
Nomanda (memantine) Exelon (Rivastigmine)

20. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 12-15 months

21. What is the effect of the statins
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Provigil (modafinil)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

22. What are the 2nd generation heterocyclic Anti depressants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

23. What is Pradaxa
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tessalon (benzonate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

24. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Block serotonin and Nor epinephrine

25. Name the macrolides
Erythromycin Clarithromycin Azithromycin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

26. What drug can be used to cardiovert AF of short duration
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's
Flecanide. Not to be used with LV insufficiency
Proscar (finasteride)

27. What ages the are the DTaP vaccine given
Zanaflex (tizanidine)
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
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

28. Name the fibric acids
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate

29. What are anticoagulation treatment options
Zanaflex (tizanidine)
Tessalon (benzonate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

30. Withdrawal symptoms
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

31. 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
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

32. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

33. What can be used for BPH
Proscar (finasteride)
Tricyclics
1.5
Gemofibrozil Fenofibrate Clofibrate

34. What are the effects of the bile acid sequestrants
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 12-15 months 2. 4-6 years

35. What are the 3rd generation heterocyclic Anti depressants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Block serotonin and Nor epinephrine

36. What is the benefit of Welchol
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

37. What can be used to treat ADHD
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Vyvanse (lisdexamphetamine)
1.5
Nomanda (memantine) Exelon (Rivastigmine)

38. When should the varicella virus vaccine be administered
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

39. Erythematous Nodosum
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tessalon (benzonate)

40. When should the HEP A vaccine be administered
Statins (18-55% reduction)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Suboxone (Buprenorphine)
1. 12-24 months 2. 6-18 months after initial dose

41. Pediatric Hepatitis vaccinations should be given when?
Zanaflex (tizanidine)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

42. What are some causes of pitting edema
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Tricyclics

43. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Nomanda (memantine) Exelon (Rivastigmine)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Block serotonin and Nor epinephrine

44. What ages are the Rotavirus vaccine given
2 months 4 months
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

45. Name the tetracyclines
Vistaril (hydroxyzine)
Flagyl (Metronidazole)
Tetracycline Doxycycline Demeclocycline Minocycline
Provigil (modafinil)

46. What can be used for cough suppression
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tessalon (benzonate)

47. What is the duration of short acting benzo's
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours

48. What can be used to improve memory
1. 12-24 months 2. 6-18 months after initial dose
Gemofibrozil Fenofibrate Clofibrate
Nomanda (memantine) Exelon (Rivastigmine)
STOP THE METFORMIN

49. What are the ages that the measles mumps and rubella vaccine administered
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

50. Name the short acting benzodiazepines
SSRI's
1. 2 months 2. 4 months 3. 12-15 months
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)