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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. When should the HEP A vaccine be administered
Tricyclics
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose
1. 12-15 months 2. 4-6 years

2. IBS
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. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

3. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2-8 hours
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

4. What ages are the Rotavirus vaccine given
Dolgic (Acetamenaphen + butabital)
10-20 hours
2 months 4 months
1. Birth 2. 1-2 months 3. 6-18 months

5. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

6. name a central acting muscle relaxant
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Birth 2. 1-2 months 3. 6-18 months

7. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

8. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pregabalin
Vyvanse (lisdexamphetamine)
Tetracycline Doxycycline Demeclocycline Minocycline

9. What is the first line treatment for depression

10. Problems with welchol and diabetes
Dolgic (Acetamenaphen + butabital)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

11. What is the benefit of Welchol
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tessalon (benzonate)

12. What can be used for nausea
Zanaflex (tizanidine)
STOP THE METFORMIN
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV

13. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Suboxone (Buprenorphine)
SSRI's
Neurogen (Filgastim)

14. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months
Block serotonin and Nor epinephrine
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

15. Withdrawal symptoms
Statins (18-55% reduction)
1. DTaP 2. PCV
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vistaril (hydroxyzine)

16. What drug can be used to cardiovert AF of short duration
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flecanide. Not to be used with LV insufficiency
Proscar (finasteride)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

17. What are the first generation anti depressants
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
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics

18. Name the macrolides
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Erythromycin Clarithromycin Azithromycin

19. Name the long acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
Vyvanse (lisdexamphetamine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dannitol (Phenobarbital +Atropine)

20. What are some options for pain control
Neurontin (gabapentin) Lyrica (Pregabalin)
Cholestyramine Colestipol Colesevalam
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

21. What are the ages that the measles mumps and rubella vaccine administered
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-24 months 2. 6-18 months after initial dose

22. What can be used to prevent coagulation
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

23. What can be used to improve memory
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)
Nomanda (memantine) Exelon (Rivastigmine)
2-8 hours

24. Name the tetracyclines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN

25. Drug addiction and withdrawal
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Suboxone (Buprenorphine)
Zanaflex (tizanidine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

26. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Statins (18-55% reduction)

27. What are the 2 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin

28. What's the difference between CMP and BMP
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency

29. What can be used to relax muscles associated with tension head aches
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. DTaP 2. PCV
Dolgic (Acetamenaphen + butabital)
2-8 hours

30. Name the fibric acids
Dolgic (Acetamenaphen + butabital)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Gemofibrozil Fenofibrate Clofibrate
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

31. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pregabalin
Tricyclics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

32. 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
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Provigil (modafinil)
Block serotonin and Nor epinephrine

33. What are the effects of fibric acids
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dolgic (Acetamenaphen + butabital)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

34. Pediatric Hepatitis vaccinations should be given when?
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
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Provigil (modafinil)

35. What is Pradaxa
Zanaflex (tizanidine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. DTaP 2. PCV
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

36. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tricyclics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 12-24 months 2. 6-18 months after initial dose

37. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flecanide. Not to be used with LV insufficiency

38. What needs to be considered when treating a patient long term with lasics
Tessalon (benzonate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

39. What are the 3rd generation heterocyclic Anti depressants
Provigil (modafinil)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Zanaflex (tizanidine)

40. What are the ages for the pneumococcal vaccine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

41. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency
Tricyclics

42. What are the effects of nicotinic acid
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

43. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

44. What are the 4 month pediatric vaccines
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
Dolgic (Acetamenaphen + butabital)

45. What is the duration of short acting benzo's
Temazepam (Reston) Lorazepam (Ativan)
Flecanide. Not to be used with LV insufficiency
1. 12-15 months 2. 4-6 years
2-8 hours

46. What drug is used to tx narcolepsy
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency
Provigil (modafinil)

47. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1.5
2-8 hours

48. What is a severe side effect of metformin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
1. 12-15 months 2. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

49. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
1. 12-24 months 2. 6-18 months after initial dose

50. name the SSRI's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flagyl (Metronidazole)
1. 12-24 months 2. 6-18 months after initial dose