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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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 used to clean ears
Pregabalin
Debrox (carbamide peroxide)
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

2. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
2 months 4 months
10-20 hours
2-8 hours

3. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
SSRI's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

4. What can be used to prevent coagulation
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval
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

5. What can be used for BPH
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
Proscar (finasteride)
STOP THE METFORMIN

6. What can be used to treat against C-difference in addition to parasites and other bacteria.
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
Erythromycin Clarithromycin Azithromycin
Flagyl (Metronidazole)

7. What is the duration of short acting benzo's
2-8 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)
STOP THE METFORMIN

8. What are the effects of the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)

9. What class of drugs will lower LDL the most
Zanaflex (tizanidine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1.5
Statins (18-55% reduction)

10. Name the fibric acids
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

11. What are some causes of pitting edema
Vyvanse (lisdexamphetamine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

12. What are the 4 month pediatric vaccines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

13. 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
A CMP is a BMP (kidney - electrolytes) PLUS liver function
10-20 hours
Dannitol (Phenobarbital +Atropine)

14. What can be used for cough suppression
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Tessalon (benzonate)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

15. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)
Pregabalin
Nomanda (memantine) Exelon (Rivastigmine)

16. Name the bile acid sequestrants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam

17. Drug addiction and withdrawal
Tricyclics
Suboxone (Buprenorphine)
Tessalon (benzonate)
Flecanide. Not to be used with LV insufficiency

18. What are the ages for the inactivated poliovirus
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dannitol (Phenobarbital +Atropine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Block serotonin and Nor epinephrine

19. What are the ages for the Hib vaccine
Proscar (finasteride)
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 12-15 months
1. DTaP 2. PCV

20. Erythematous Nodosum
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
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
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

21. What is a severe side effect of metformin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

22. What is the max creatinine clearance level for metformin
1.5
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

23. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Zanaflex (tizanidine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pregabalin

24. What can be used to increase WBC counts
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
Block serotonin and Nor epinephrine
2-8 hours

25. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours

26. 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
Block serotonin and Nor epinephrine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flecanide. Not to be used with LV insufficiency

27. Name the intermediate acting benzodiazepines
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months

28. Name the short acting benzodiazepines
Provigil (modafinil)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

29. What are the 6 month pediatric vaccines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2-8 hours
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years

30. Name the macrolides
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months
Proscar (finasteride)

31. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Temazepam (Reston) Lorazepam (Ativan)
Neurogen (Filgastim)

32. Withdrawal symptoms
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)
Flagyl (Metronidazole)
Debrox (carbamide peroxide)

33. Pediatric Hepatitis vaccinations should be given when?
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years
Vistaril (hydroxyzine)

34. What drug is used to tx narcolepsy
Provigil (modafinil)
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

35. What are the 2 month pediatric vaccines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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
2-8 hours

36. What drug can be used to cardiovert AF of short duration
Vistaril (hydroxyzine)
Flecanide. Not to be used with LV insufficiency
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2-8 hours

37. What is an FDA approved prescription weight loss drug
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Zofran (Ondansetron) Reglam (metoclopromide)

38. What's the difference between CMP and BMP
SSRI's
Tetracycline Doxycycline Demeclocycline Minocycline
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

39. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Statins (18-55% reduction)
1. 12-24 months 2. 6-18 months after initial dose

40. Name the tetracyclines
Dolgic (Acetamenaphen + butabital)
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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

41. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years

42. What is the first line treatment for depression

43. What ages are the Rotavirus vaccine given
1. 12-24 months 2. 6-18 months after initial dose
Dannitol (Phenobarbital +Atropine)
Tricyclics
2 months 4 months

44. What is the benefit of Welchol
Erythromycin Clarithromycin Azithromycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
Neurogen (Filgastim)

45. What can be used to improve memory
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurontin (gabapentin) Lyrica (Pregabalin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Nomanda (memantine) Exelon (Rivastigmine)

46. What are the first generation anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
Erythromycin Clarithromycin Azithromycin
Pregabalin

47. What is Pradaxa
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dolgic (Acetamenaphen + butabital)

48. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tricyclics

49. If a patient is on metformin and about to undergo contrast imaging - what must be done.
STOP THE METFORMIN
Erythromycin Clarithromycin Azithromycin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

50. What is the duration action of intermediate acting benzo's
10-20 hours
Vyvanse (lisdexamphetamine)
1. 2 months 2. 4 months 3. 12-15 months
Block serotonin and Nor epinephrine