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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 effect of the statins
Tetracycline Doxycycline Demeclocycline Minocycline
1.5
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)

2. What are anticoagulation treatment options
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

3. What are the first generation anti depressants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics

4. Name the macrolides
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

5. name a central acting muscle relaxant
1. Birth 2. 1-2 months 3. 6-18 months
Zanaflex (tizanidine)
Proscar (finasteride)
Nomanda (memantine) Exelon (Rivastigmine)

6. What can be used for cough suppression
1.5
Statins (18-55% reduction)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Tessalon (benzonate)

7. What can be used for BPH
1. Birth 2. 1-2 months 3. 6-18 months
Proscar (finasteride)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)

8. What are the 3rd generation heterocyclic Anti depressants
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

9. What are the effects of the bile acid sequestrants
Zanaflex (tizanidine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

10. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zanaflex (tizanidine)

11. What is the duration action of intermediate acting benzo's
10-20 hours
Pregabalin
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years

12. High blood pressure
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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

13. What are the effects of nicotinic acid
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
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Statins (18-55% reduction)
Zanaflex (tizanidine)

14. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
Tetracycline Doxycycline Demeclocycline Minocycline
Neurogen (Filgastim)

15. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. DTaP 2. PCV
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

16. What's the difference between CMP and BMP
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

17. Erythematous Nodosum
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

18. Withdrawal symptoms
STOP THE METFORMIN
Vistaril (hydroxyzine)
1. 12-24 months 2. 6-18 months after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

19. What are the ages for the inactivated poliovirus
1. DTaP 2. PCV
Suboxone (Buprenorphine)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

20. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zofran (Ondansetron) Reglam (metoclopromide)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

21. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Block serotonin and Nor epinephrine
Statins (18-55% reduction)

22. What are the 6 month pediatric vaccines
Provigil (modafinil)
1. DTaP 2. PCV
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

23. What drug can be used to cardiovert AF of short duration
Temazepam (Reston) Lorazepam (Ativan)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)
Flecanide. Not to be used with LV insufficiency

24. What are the 4 month pediatric vaccines
Dolgic (Acetamenaphen + butabital)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

25. What can be used to treat ADHD
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
10-20 hours
Vyvanse (lisdexamphetamine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. What can be used to increase WBC counts
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tricyclics
Neurogen (Filgastim)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

27. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Provigil (modafinil)
Pregabalin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline

28. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

29. What is the max creatinine clearance level for metformin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5

30. What is the first line treatment for depression

31. What is the benefit of Welchol
Erythromycin Clarithromycin Azithromycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

32. 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)
Dolgic (Acetamenaphen + butabital)
SSRI's

33. What ages are the Rotavirus vaccine given
Tetracycline Doxycycline Demeclocycline Minocycline
2 months 4 months
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
Erythromycin Clarithromycin Azithromycin

34. What drug can be used for cardioversion with structural heart disease
Dolgic (Acetamenaphen + butabital)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Temazepam (Reston) Lorazepam (Ativan)

35. Name the fibric acids
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

36. IBS
Dannitol (Phenobarbital +Atropine)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

37. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Nomanda (memantine) Exelon (Rivastigmine)

38. What drug is used to tx narcolepsy
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dannitol (Phenobarbital +Atropine)

39. What are some causes of pitting edema
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
1.5

40. Treatment for pre-diabetes
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

41. Drug addiction and withdrawal
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
Flecanide. Not to be used with LV insufficiency
Suboxone (Buprenorphine)

42. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Cholestyramine Colestipol Colesevalam
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dannitol (Phenobarbital +Atropine)

43. How do you treat low magnesium and low potassium in the hospital setting
Pregabalin
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

44. When should the HEP A vaccine be administered
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vistaril (hydroxyzine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose

45. What is a severe side effect of metformin
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Debrox (carbamide peroxide)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

46. What is Pradaxa
Neurontin (gabapentin) Lyrica (Pregabalin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

47. What is the duration of short acting benzo's
Flecanide. Not to be used with LV insufficiency
Tessalon (benzonate)
1.5
2-8 hours

48. Name the tetracyclines
Temazepam (Reston) Lorazepam (Ativan)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tetracycline Doxycycline Demeclocycline Minocycline
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

49. What can be used to relax muscles associated with tension head aches
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)

50. What are the 2 month pediatric vaccines
Vistaril (hydroxyzine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP