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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. Neuropathic Pain management
1. 12-24 months 2. 6-18 months after initial dose
Tessalon (benzonate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)

2. What can be used for cough suppression
Tessalon (benzonate)
Vyvanse (lisdexamphetamine)
Debrox (carbamide peroxide)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

3. What can be used to improve memory
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)

4. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

5. What are the 6 month pediatric vaccines
1. DTaP 2. PCV
Provigil (modafinil)
2 months 4 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

6. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Erythromycin Clarithromycin Azithromycin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pregabalin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

7. What is the duration of short acting benzo's
2-8 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dolgic (Acetamenaphen + butabital)
Tetracycline Doxycycline Demeclocycline Minocycline

8. What class of drugs will lower LDL the most
Temazepam (Reston) Lorazepam (Ativan)
Proscar (finasteride)
10-20 hours
Statins (18-55% reduction)

9. How do you treat low magnesium and low potassium in the hospital setting
2-8 hours
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

10. What are the ages for the pneumococcal vaccine
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)

11. Name the short acting benzodiazepines
STOP THE METFORMIN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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

12. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Cholestyramine Colestipol Colesevalam
Dolgic (Acetamenaphen + butabital)
Neurontin (gabapentin) Lyrica (Pregabalin)

13. IBS
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

14. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
2-8 hours
Vyvanse (lisdexamphetamine)

15. Name the macrolides
Erythromycin Clarithromycin Azithromycin
STOP THE METFORMIN
Provigil (modafinil)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

16. What needs to be considered when treating a patient long term with lasics
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Provigil (modafinil)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

17. What can be used for nausea
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

18. What can be used for BPH
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Proscar (finasteride)
Dannitol (Phenobarbital +Atropine)

19. What are some causes of pitting edema
Vyvanse (lisdexamphetamine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Trazodone (Desyrel) Buproprion (Wellbutrin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

20. What are the ages that the measles mumps and rubella vaccine administered
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)

21. name the SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 12-15 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

22. What's the difference between CMP and BMP
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
Neurontin (gabapentin) Lyrica (Pregabalin)

23. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Erythromycin Clarithromycin Azithromycin

24. Erythematous Nodosum
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 delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dannitol (Phenobarbital +Atropine)

25. What drug is used to tx narcolepsy
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
1. 12-15 months 2. 4-6 years

26. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Gemofibrozil Fenofibrate Clofibrate

27. What can be used to increase WBC counts
Neurogen (Filgastim)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dolgic (Acetamenaphen + butabital)
Gemofibrozil Fenofibrate Clofibrate

28. What is the first line treatment for depression

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29. What are some options for pain control
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Proscar (finasteride)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Trazodone (Desyrel) Buproprion (Wellbutrin)

30. name a central acting muscle relaxant
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zanaflex (tizanidine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

31. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

32. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Gemofibrozil Fenofibrate Clofibrate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

33. What is the effect of the statins
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

34. What drug can be used to cardiovert AF of short duration
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flecanide. Not to be used with LV insufficiency
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)

35. 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
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

36. What drug can be used for cardioversion with structural heart disease
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

37. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Flagyl (Metronidazole)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

38. What is the benefit of Welchol
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

39. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Nomanda (memantine) Exelon (Rivastigmine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

40. What can be used to treat ADHD
1. 12-24 months 2. 6-18 months after initial dose
Vyvanse (lisdexamphetamine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Tetracycline Doxycycline Demeclocycline Minocycline

41. What can be used to prevent coagulation
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

42. Drug addiction and withdrawal
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Suboxone (Buprenorphine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

43. Name the statins
Block serotonin and Nor epinephrine
Dolgic (Acetamenaphen + butabital)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin

44. What is Pradaxa
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurogen (Filgastim)
Debrox (carbamide peroxide)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

45. What are the first generation anti depressants
2-8 hours
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Tricyclics
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

46. Problems with welchol and diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

47. What can be used to relax muscles associated with tension head aches
1. 2 months 2. 4 months 3. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Dolgic (Acetamenaphen + butabital)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

48. What is an FDA approved prescription weight loss drug
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

49. What is used to clean ears
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Debrox (carbamide peroxide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

50. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
1. Birth 2. 1-2 months 3. 6-18 months
Proscar (finasteride)
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval

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Family Medicine Treatment Options

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