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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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1. What can be used to increase WBC counts
Neurogen (Filgastim)
Provigil (modafinil)
Cholestyramine Colestipol Colesevalam
2 months 4 months

2. What are some options for pain control
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Block serotonin and Nor epinephrine

3. What ages the are the DTaP vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Neurontin (gabapentin) Lyrica (Pregabalin)
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

4. What are the ages that the measles mumps and rubella vaccine administered
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

5. What is the effect of the statins
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Temazepam (Reston) Lorazepam (Ativan)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

6. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

7. What is the benefit of Welchol
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

8. Drug addiction and withdrawal
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

9. What can be used for BPH
Trazodone (Desyrel) Buproprion (Wellbutrin)
2 months 4 months
Provigil (modafinil)
Proscar (finasteride)

10. What are the effects of fibric acids
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Block serotonin and Nor epinephrine
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

11. What are the 2 month pediatric vaccines
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

12. When should the HEP A vaccine be administered
Proscar (finasteride)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
SSRI's
1. 12-24 months 2. 6-18 months after initial dose

13. What are the effects of the bile acid sequestrants
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

14. What is the first line treatment for depression

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15. What is an FDA approved prescription weight loss drug
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function

16. What drug is used to tx narcolepsy
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
Neurogen (Filgastim)
Provigil (modafinil)

17. Problems with welchol and diabetes
Debrox (carbamide peroxide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN

18. When should the varicella virus vaccine be administered
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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. 12-15 months 2. 4-6 years

19. If a patient is on metformin and about to undergo contrast imaging - what must be done.
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

20. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
1. 12-24 months 2. 6-18 months after initial dose
Vistaril (hydroxyzine)

21. name the SSRI's
SSRI's
1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
10-20 hours

22. 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
Neurogen (Filgastim)
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

23. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Erythromycin Clarithromycin Azithromycin

24. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Zanaflex (tizanidine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

25. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years
Pregabalin

26. What are the 2nd generation heterocyclic Anti depressants
SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Trazodone (Desyrel) Buproprion (Wellbutrin)

27. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dolgic (Acetamenaphen + butabital)

28. What is the duration action of intermediate acting benzo's
10-20 hours
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin
Vistaril (hydroxyzine)

29. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Suboxone (Buprenorphine)
1. Birth 2. 1-2 months 3. 6-18 months
Flecanide. Not to be used with LV insufficiency

30. What is the max creatinine clearance level for metformin
1.5
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

31. What can be used for nausea
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

32. Name the macrolides
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Erythromycin Clarithromycin Azithromycin
Vyvanse (lisdexamphetamine)
Dolgic (Acetamenaphen + butabital)

33. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

34. What ages are the Rotavirus vaccine given
2 months 4 months
Nomanda (memantine) Exelon (Rivastigmine)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

35. Name the intermediate acting benzodiazepines
Neurogen (Filgastim)
Temazepam (Reston) Lorazepam (Ativan)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

36. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 12-15 months
Erythromycin Clarithromycin Azithromycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

37. Name the bile acid sequestrants
Zanaflex (tizanidine)
Tricyclics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Cholestyramine Colestipol Colesevalam

38. What's the difference between CMP and BMP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Pregabalin
Block serotonin and Nor epinephrine

39. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. DTaP 2. PCV
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Block serotonin and Nor epinephrine
Tessalon (benzonate)

40. What is used to clean ears
Gemofibrozil Fenofibrate Clofibrate
Temazepam (Reston) Lorazepam (Ativan)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)

41. Name the aminoglycoside
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tricyclics

42. What can be used to treat against C-difference in addition to parasites and other bacteria.
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flagyl (Metronidazole)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tricyclics

43. What is the duration of short acting benzo's
2-8 hours
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)

44. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tessalon (benzonate)

45. What are the 4 month pediatric vaccines
Zanaflex (tizanidine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

46. What are the ages for the inactivated poliovirus
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
1. 2 months 2. 4 months 3. 12-15 months

47. What are the 6 month pediatric vaccines
SSRI's
1. DTaP 2. PCV
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
10-20 hours

48. What are some causes of pitting edema
Vyvanse (lisdexamphetamine)
Vistaril (hydroxyzine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zanaflex (tizanidine)

49. name a central acting muscle relaxant
Neurontin (gabapentin) Lyrica (Pregabalin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)

50. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 months 4 months
Debrox (carbamide peroxide)