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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 the benefit of Welchol
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Gemofibrozil Fenofibrate Clofibrate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

2. How do you treat low magnesium and low potassium in the hospital setting
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Cholestyramine Colestipol Colesevalam
SSRI's

3. Name the tetracyclines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)

4. What are some causes of pitting edema
1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

5. What are the 4 month pediatric vaccines
2 months 4 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)
Flagyl (Metronidazole)

6. High blood pressure
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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
Dolgic (Acetamenaphen + butabital)
2 months 4 months

7. What are the first generation anti depressants
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flecanide. Not to be used with LV insufficiency

8. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

9. When should the HEP A vaccine be administered
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-24 months 2. 6-18 months after initial dose
Temazepam (Reston) Lorazepam (Ativan)

10. What class of drugs will lower LDL the most
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

11. Name the short acting benzodiazepines
Debrox (carbamide peroxide)
Block serotonin and Nor epinephrine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

12. What are the effects of nicotinic acid
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
2 months 4 months

13. name the SSRI's
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-24 months 2. 6-18 months after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Tricyclics

14. What ages the are the DTaP vaccine given
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

15. 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. 6-18 months 4. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurogen (Filgastim)

16. What is the duration action of intermediate acting benzo's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
10-20 hours

17. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

18. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Trazodone (Desyrel) Buproprion (Wellbutrin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vistaril (hydroxyzine)

19. Name the intermediate acting benzodiazepines
Cholestyramine Colestipol Colesevalam
Temazepam (Reston) Lorazepam (Ativan)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Provigil (modafinil)

20. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zanaflex (tizanidine)
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

21. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dannitol (Phenobarbital +Atropine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Block serotonin and Nor epinephrine
Zofran (Ondansetron) Reglam (metoclopromide)

22. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)

23. What drug can be used for cardioversion with structural heart disease
Trazodone (Desyrel) Buproprion (Wellbutrin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dolgic (Acetamenaphen + butabital)
Provigil (modafinil)

24. What can be used for BPH
Neurogen (Filgastim)
1.5
Proscar (finasteride)
Dolgic (Acetamenaphen + butabital)

25. Drug addiction and withdrawal
Gemofibrozil Fenofibrate Clofibrate
SSRI's
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)

26. What are anticoagulation treatment options
1. DTaP 2. PCV
Pregabalin
Statins (18-55% reduction)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

27. What is the duration of short acting benzo's
2-8 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

28. What are the effects of fibric acids
1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

29. Pediatric Hepatitis vaccinations should be given when?
Tetracycline Doxycycline Demeclocycline Minocycline
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vistaril (hydroxyzine)

30. Withdrawal symptoms
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

31. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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

32. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vyvanse (lisdexamphetamine)

33. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)

34. What can be used to improve memory
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Neurogen (Filgastim)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)

35. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 12-15 months

36. Neuropathic Pain management
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Provigil (modafinil)
Neurontin (gabapentin) Lyrica (Pregabalin)

37. What is the first line treatment for depression

38. What can be used to relax muscles associated with tension head aches
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Vistaril (hydroxyzine)
Dolgic (Acetamenaphen + butabital)
Cholestyramine Colestipol Colesevalam

39. What can be used for nausea
Nomanda (memantine) Exelon (Rivastigmine)
STOP THE METFORMIN
Tricyclics
Zofran (Ondansetron) Reglam (metoclopromide)

40. Name the macrolides
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 12-15 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

41. Erythematous Nodosum
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose

42. What can be used to treat against C-difference in addition to parasites and other bacteria.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Flagyl (Metronidazole)
Temazepam (Reston) Lorazepam (Ativan)
2-8 hours

43. What is the effect of the statins
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

44. What are some options for pain control
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
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

45. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Nomanda (memantine) Exelon (Rivastigmine)
Pregabalin
Dolgic (Acetamenaphen + butabital)
Dannitol (Phenobarbital +Atropine)

46. When should the varicella virus vaccine be administered
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

47. What ages are the Rotavirus vaccine given
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-24 months 2. 6-18 months after initial dose
2 months 4 months

48. Name the bile acid sequestrants
Flecanide. Not to be used with LV insufficiency
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Cholestyramine Colestipol Colesevalam

49. What can be used to increase WBC counts
Pregabalin
Neurogen (Filgastim)
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)

50. What is Pradaxa
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)