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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. Name the bile acid sequestrants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Cholestyramine Colestipol Colesevalam
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

2. Drug addiction and withdrawal
Dannitol (Phenobarbital +Atropine)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval

3. Name the short acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 months 3. 6-18 months
Erythromycin Clarithromycin Azithromycin

4. What is a severe side effect of metformin
1. DTaP 2. PCV
Statins (18-55% reduction)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

5. Withdrawal symptoms
Tessalon (benzonate)
Gemofibrozil Fenofibrate Clofibrate
Pregabalin
Vistaril (hydroxyzine)

6. 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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vistaril (hydroxyzine)
2-8 hours

7. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Suboxone (Buprenorphine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

8. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose
Suboxone (Buprenorphine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

9. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurogen (Filgastim)

10. What can be used to treat against C-difference in addition to parasites and other bacteria.
Gemofibrozil Fenofibrate Clofibrate
Provigil (modafinil)
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)

11. What ages the are the DTaP vaccine given
Vistaril (hydroxyzine)
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%)
Block serotonin and Nor epinephrine

12. What needs to be considered when treating a patient long term with lasics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
SSRI's
Neurontin (gabapentin) Lyrica (Pregabalin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

13. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
Vyvanse (lisdexamphetamine)
Dolgic (Acetamenaphen + butabital)

14. What is the max creatinine clearance level for metformin
Vistaril (hydroxyzine)
1.5
Block serotonin and Nor epinephrine
Nomanda (memantine) Exelon (Rivastigmine)

15. What are the 2nd generation heterocyclic Anti depressants
2-8 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)

16. What is the duration action of intermediate acting benzo's
Zanaflex (tizanidine)
10-20 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)

17. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Zanaflex (tizanidine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)

18. When should the varicella virus vaccine be administered
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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

19. IBS
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

20. Name the tetracyclines
Zofran (Ondansetron) Reglam (metoclopromide)
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline

21. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
Zanaflex (tizanidine)
Tessalon (benzonate)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

22. High blood pressure
1. 12-24 months 2. 6-18 months after initial dose
Vistaril (hydroxyzine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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

23. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

24. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

25. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Nomanda (memantine) Exelon (Rivastigmine)
Cholestyramine Colestipol Colesevalam
1.5

26. What are the effects of fibric acids
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

27. What is the first line treatment for depression

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28. What are the 2 month pediatric vaccines
Tessalon (benzonate)
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
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

29. What drug can be used for cardioversion with structural heart disease
Vistaril (hydroxyzine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

30. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
SSRI's
Dannitol (Phenobarbital +Atropine)
Debrox (carbamide peroxide)

31. name the SSRI's
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 12-15 months

32. What can be used to increase WBC counts
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)

33. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 12-15 months
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Neurogen (Filgastim)

34. What are the ages for the Hib vaccine
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 12-15 months
1. DTaP 2. PCV
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

35. What can be used for cough suppression
Cholestyramine Colestipol Colesevalam
Erythromycin Clarithromycin Azithromycin
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

36. What is used to clean ears
Debrox (carbamide peroxide)
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)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

37. name a central acting muscle relaxant
Tessalon (benzonate)
Zanaflex (tizanidine)
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-15 months 2. 4-6 years

38. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

39. Neuropathic Pain management
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurontin (gabapentin) Lyrica (Pregabalin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

40. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Zofran (Ondansetron) Reglam (metoclopromide)
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

41. Name the aminoglycoside
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

42. Name the macrolides
2-8 hours
Erythromycin Clarithromycin Azithromycin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tetracycline Doxycycline Demeclocycline Minocycline

43. What ages are the Rotavirus vaccine given
2 months 4 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Debrox (carbamide peroxide)
Suboxone (Buprenorphine)

44. 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
Debrox (carbamide peroxide)
Statins (18-55% reduction)
Pregabalin

45. Name the long acting benzodiazepines
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Temazepam (Reston) Lorazepam (Ativan)

46. What are the effects of the bile acid sequestrants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

47. Treatment for pre-diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dolgic (Acetamenaphen + butabital)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

48. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Provigil (modafinil)

49. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Block serotonin and Nor epinephrine
Pregabalin

50. Problems with welchol and diabetes
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM