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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 are the 3rd generation heterocyclic Anti depressants
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Cholestyramine Colestipol Colesevalam

2. What is the duration action of intermediate acting benzo's
Flagyl (Metronidazole)
SSRI's
Zanaflex (tizanidine)
10-20 hours

3. Name the aminoglycoside
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pregabalin

4. What can be used for BPH
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Erythromycin Clarithromycin Azithromycin
Proscar (finasteride)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

5. What are the 2nd generation heterocyclic Anti depressants
Statins (18-55% reduction)
Flecanide. Not to be used with LV insufficiency
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)

6. When should the HEP A vaccine be administered
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose

7. What is Pradaxa
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
Flecanide. Not to be used with LV insufficiency
Zofran (Ondansetron) Reglam (metoclopromide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

8. What are the first generation anti depressants
10-20 hours
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tricyclics
Pregabalin

9. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Statins (18-55% reduction)

10. What drug can be used for cardioversion with structural heart disease
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)

11. Name the long acting benzodiazepines
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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)

12. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

13. Name the macrolides
1. Birth 2. 1-2 months 3. 6-18 months
Nomanda (memantine) Exelon (Rivastigmine)
Erythromycin Clarithromycin Azithromycin
Cholestyramine Colestipol Colesevalam

14. What is used to clean ears
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Debrox (carbamide peroxide)

15. What are the effects of fibric acids
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Cholestyramine Colestipol Colesevalam
Erythromycin Clarithromycin Azithromycin

16. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

17. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Statins (18-55% reduction)

18. Problems with welchol and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Gemofibrozil Fenofibrate Clofibrate

19. What are the effects of the bile acid sequestrants
1. 12-15 months 2. 4-6 years
1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

20. Name the intermediate acting benzodiazepines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Temazepam (Reston) Lorazepam (Ativan)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flagyl (Metronidazole)

21. name the SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)

22. 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
Flagyl (Metronidazole)
Neurogen (Filgastim)
Dolgic (Acetamenaphen + butabital)

23. 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
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Statins (18-55% reduction)

24. High blood pressure
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zanaflex (tizanidine)
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

25. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
SSRI's
Pregabalin
Neurontin (gabapentin) Lyrica (Pregabalin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

26. Pediatric Hepatitis vaccinations should be given when?
Provigil (modafinil)
Flecanide. Not to be used with LV insufficiency
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5

27. What are some options for pain control
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)
Cholestyramine Colestipol Colesevalam

28. What needs to be considered when treating a patient long term with lasics
1. 2 months 2. 4 months 3. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years

29. What is the duration of short acting benzo's
2-8 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

30. name a central acting muscle relaxant
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zanaflex (tizanidine)
Flagyl (Metronidazole)

31. What are the ages for the pneumococcal vaccine
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. DTaP 2. PCV
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

32. What can be used to treat against C-difference in addition to parasites and other bacteria.
Block serotonin and Nor epinephrine
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Flagyl (Metronidazole)

33. What can be used to increase WBC counts
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurogen (Filgastim)
Block serotonin and Nor epinephrine
Vistaril (hydroxyzine)

34. What are anticoagulation treatment options
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

35. Neuropathic Pain management
SSRI's
Tetracycline Doxycycline Demeclocycline Minocycline
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin

36. What is the max creatinine clearance level for metformin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

37. What is a severe side effect of metformin
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pregabalin

38. What are some causes of pitting edema
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours

39. What can be used for cough suppression
Vyvanse (lisdexamphetamine)
Tessalon (benzonate)
10-20 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

40. What is the effect of the statins
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Gemofibrozil Fenofibrate Clofibrate

41. What is the first line treatment for depression

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42. IBS
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Temazepam (Reston) Lorazepam (Ativan)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dannitol (Phenobarbital +Atropine)

43. What is an FDA approved prescription weight loss drug
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

44. What are the 2 month pediatric vaccines
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

45. When should the varicella virus vaccine be administered
Pregabalin
Block serotonin and Nor epinephrine
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 months 3. 6-18 months

46. Drug addiction and withdrawal
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
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)

47. Name the tetracyclines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)
1. 12-24 months 2. 6-18 months after initial dose

48. What drug can be used to cardiovert AF of short duration
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Gemofibrozil Fenofibrate Clofibrate

49. What are the ages for the inactivated poliovirus
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Suboxone (Buprenorphine)

50. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)