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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 varicella virus vaccine be administered
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years

2. What are the 4 month pediatric vaccines
1. Birth 2. 1-2 months 3. 6-18 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)

3. What can be used for BPH
Proscar (finasteride)
1.5
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

4. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Temazepam (Reston) Lorazepam (Ativan)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

5. What can be used to increase WBC counts
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
Neurogen (Filgastim)
2 months 4 months

6. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Block serotonin and Nor epinephrine

7. What are the first generation anti depressants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Proscar (finasteride)
Tricyclics
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

8. What are the 2nd generation heterocyclic Anti depressants
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 12-15 months
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

9. What can be used to improve memory
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Provigil (modafinil)
Nomanda (memantine) Exelon (Rivastigmine)

10. What can be used to treat ADHD
Erythromycin Clarithromycin Azithromycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)

11. How do you treat low magnesium and low potassium in the hospital setting
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flecanide. Not to be used with LV insufficiency
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

12. 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
Statins (18-55% reduction)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

13. What is the duration action of intermediate acting benzo's
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Suboxone (Buprenorphine)

14. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

15. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

16. Name the aminoglycoside
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

17. What is used to clean ears
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
Debrox (carbamide peroxide)
Pregabalin

18. Name the bile acid sequestrants
Provigil (modafinil)
Cholestyramine Colestipol Colesevalam
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

19. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

20. What is an FDA approved prescription weight loss drug
Zanaflex (tizanidine)
Vistaril (hydroxyzine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Statins (18-55% reduction)

21. 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
Trazodone (Desyrel) Buproprion (Wellbutrin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

22. Treatment for pre-diabetes
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tricyclics
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

23. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tetracycline Doxycycline Demeclocycline Minocycline

24. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Statins (18-55% reduction)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Vistaril (hydroxyzine)

25. name a central acting muscle relaxant
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zanaflex (tizanidine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

26. What class of drugs will lower LDL the most
Statins (18-55% reduction)
2 months 4 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

27. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Block serotonin and Nor epinephrine
Flecanide. Not to be used with LV insufficiency

28. What drug is used to tx narcolepsy
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-24 months 2. 6-18 months after initial dose
Provigil (modafinil)
Flagyl (Metronidazole)

29. Name the intermediate acting benzodiazepines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)

30. What is the benefit of Welchol
Suboxone (Buprenorphine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

31. Erythematous Nodosum
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

32. Name the fibric acids
Suboxone (Buprenorphine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Gemofibrozil Fenofibrate Clofibrate
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

33. Name the macrolides
Erythromycin Clarithromycin Azithromycin
SSRI's
10-20 hours
Tetracycline Doxycycline Demeclocycline Minocycline

34. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Suboxone (Buprenorphine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Pregabalin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

35. What are some options for pain control
Tetracycline Doxycycline Demeclocycline Minocycline
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)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

36. What are the ages for the inactivated poliovirus
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)

37. Name the statins
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

38. What are the 6 month pediatric vaccines
Block serotonin and Nor epinephrine
1. DTaP 2. PCV
Neurogen (Filgastim)
1. Birth 2. 1-2 months 3. 6-18 months

39. What needs to be considered when treating a patient long term with lasics
Vistaril (hydroxyzine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate
Cholestyramine Colestipol Colesevalam

40. What is the effect of the statins
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

41. What can be used to relax muscles associated with tension head aches
Provigil (modafinil)
2 months 4 months
Dolgic (Acetamenaphen + butabital)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

42. What drug can be used for cardioversion with structural heart disease
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 12-15 months
Flecanide. Not to be used with LV insufficiency

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

44. Problems with welchol and diabetes
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

45. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

46. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline
1.5

47. What are the effects of fibric acids
Trazodone (Desyrel) Buproprion (Wellbutrin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flagyl (Metronidazole)

48. What is the duration of short acting benzo's
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2-8 hours
Zanaflex (tizanidine)

49. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

50. Neuropathic Pain management
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2-8 hours
Neurontin (gabapentin) Lyrica (Pregabalin)