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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 needs to be considered when treating a patient long term with lasics
Tetracycline Doxycycline Demeclocycline Minocycline
Erythromycin Clarithromycin Azithromycin
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

2. What is the first line treatment for depression

3. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 12-15 months
Flagyl (Metronidazole)
Gemofibrozil Fenofibrate Clofibrate

4. What is the duration of short acting benzo's
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
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2-8 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

5. What drug can be used for cardioversion with structural heart disease
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flagyl (Metronidazole)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

6. What are the ages that the measles mumps and rubella vaccine administered
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
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years

7. Erythematous Nodosum
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV
1.5

8. When should the HEP A vaccine be administered
Cholestyramine Colestipol Colesevalam
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose
Trazodone (Desyrel) Buproprion (Wellbutrin)

9. What ages are the Rotavirus vaccine given
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months
Neurontin (gabapentin) Lyrica (Pregabalin)

10. What can be used to relax muscles associated with tension head aches
Ibutilide (IV Only). It prolongs repolarization and the QT interval
STOP THE METFORMIN
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)

11. Problems with welchol and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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
Proscar (finasteride)

12. What class of drugs will lower LDL the most
Statins (18-55% reduction)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

13. What's the difference between CMP and BMP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tessalon (benzonate)

14. Name the short acting benzodiazepines
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 12-15 months 2. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

15. IBS
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years

16. What is a severe side effect of metformin
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

17. What ages are the Hep B vaccine given
Gemofibrozil Fenofibrate Clofibrate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zanaflex (tizanidine)
1. Birth 2. 1-2 months 3. 6-18 months

18. What are the effects of fibric acids
Tricyclics
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flecanide. Not to be used with LV insufficiency

19. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Debrox (carbamide peroxide)

20. What is the duration action of intermediate acting benzo's
Gemofibrozil Fenofibrate Clofibrate
10-20 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

21. What can be used to treat ADHD
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2-8 hours
Vyvanse (lisdexamphetamine)

22. What are the 2nd generation heterocyclic Anti depressants
STOP THE METFORMIN
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

23. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zanaflex (tizanidine)
1. DTaP 2. PCV

24. name the SSRI's
Flagyl (Metronidazole)
Tetracycline Doxycycline Demeclocycline Minocycline
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

25. What is used to clean ears
2 months 4 months
Debrox (carbamide peroxide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flecanide. Not to be used with LV insufficiency

26. Drug addiction and withdrawal
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

27. What is the effect of the statins
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
STOP THE METFORMIN
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

28. What is the max creatinine clearance level for metformin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. Name the intermediate acting benzodiazepines
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

30. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

31. What is the benefit of Welchol
STOP THE METFORMIN
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

32. What is Pradaxa
Tricyclics
2 months 4 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years

33. 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
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

34. What are anticoagulation treatment options
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dolgic (Acetamenaphen + butabital)

35. name a central acting muscle relaxant
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Neurontin (gabapentin) Lyrica (Pregabalin)
Zanaflex (tizanidine)
Pregabalin

36. What are the first generation anti depressants
Erythromycin Clarithromycin Azithromycin
Tricyclics
Trazodone (Desyrel) Buproprion (Wellbutrin)
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

37. What are the effects of nicotinic acid
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

38. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-15 months 2. 4-6 years

39. Name the macrolides
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1.5
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin

40. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Vistaril (hydroxyzine)
Cholestyramine Colestipol Colesevalam
Tricyclics

41. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Neurontin (gabapentin) Lyrica (Pregabalin)
Cholestyramine Colestipol Colesevalam
Pregabalin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

42. What are the 4 month pediatric vaccines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurogen (Filgastim)
Tetracycline Doxycycline Demeclocycline Minocycline
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. High blood pressure
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
1.5
Flagyl (Metronidazole)
Erythromycin Clarithromycin Azithromycin

44. What can be used to increase WBC counts
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurogen (Filgastim)
2-8 hours

45. What can be used for cough suppression
Gemofibrozil Fenofibrate Clofibrate
Tessalon (benzonate)
Nomanda (memantine) Exelon (Rivastigmine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

46. What can be used for BPH
Tetracycline Doxycycline Demeclocycline Minocycline
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

47. Name the aminoglycoside
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

48. What are some causes of pitting edema
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Proscar (finasteride)
Statins (18-55% reduction)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

49. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
2 months 4 months
Debrox (carbamide peroxide)

50. What can be used to prevent coagulation
10-20 hours
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5