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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 can be used to increase WBC counts
Neurogen (Filgastim)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

2. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

3. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
Statins (18-55% reduction)
2-8 hours

4. What is a severe side effect of metformin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Flagyl (Metronidazole)
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

5. What are the first generation anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tricyclics
2 months 4 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

6. What are the 6 month pediatric vaccines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Debrox (carbamide peroxide)

7. Drug addiction and withdrawal
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

8. Name the statins
Flagyl (Metronidazole)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Provigil (modafinil)

9. What drug can be used for cardioversion with structural heart disease
1. Birth 2. 1-2 months 3. 6-18 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Flecanide. Not to be used with LV insufficiency
Provigil (modafinil)

10. What can be used for cough suppression
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tessalon (benzonate)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

11. What ages the are the DTaP vaccine given
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 12-15 months
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

12. What are the ages for the pneumococcal vaccine
Proscar (finasteride)
Zanaflex (tizanidine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months

13. Treatment for pre-diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months
Neurogen (Filgastim)

14. Neuropathic Pain management
Suboxone (Buprenorphine)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

15. What are the 2nd generation heterocyclic Anti depressants
Zanaflex (tizanidine)
Trazodone (Desyrel) Buproprion (Wellbutrin)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dolgic (Acetamenaphen + butabital)

16. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

17. Name the fibric acids
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Erythromycin Clarithromycin Azithromycin
Gemofibrozil Fenofibrate Clofibrate
Vyvanse (lisdexamphetamine)

18. What can be used to treat ADHD
1.5
Proscar (finasteride)
Vyvanse (lisdexamphetamine)
Temazepam (Reston) Lorazepam (Ativan)

19. Pediatric Hepatitis vaccinations should be given when?
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pregabalin

20. What class of drugs will lower LDL the most
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)
Tricyclics
Statins (18-55% reduction)

21. Name the intermediate acting benzodiazepines
Neurontin (gabapentin) Lyrica (Pregabalin)
Cholestyramine Colestipol Colesevalam
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Temazepam (Reston) Lorazepam (Ativan)

22. What is the duration action of intermediate acting benzo's
Cholestyramine Colestipol Colesevalam
10-20 hours
Proscar (finasteride)
Gemofibrozil Fenofibrate Clofibrate

23. What is an FDA approved prescription weight loss drug
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. 12-24 months 2. 6-18 months after initial dose
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Flecanide. Not to be used with LV insufficiency

24. What drug is used to tx narcolepsy
2-8 hours
STOP THE METFORMIN
Provigil (modafinil)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

25. What ages are the Hep B vaccine given
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months

26. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. DTaP 2. PCV
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics

27. What is the benefit of Welchol
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2-8 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

28. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Suboxone (Buprenorphine)
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval

29. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin
Statins (18-55% reduction)
1. DTaP 2. PCV

30. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Erythromycin Clarithromycin Azithromycin
1. 12-15 months 2. 4-6 years
STOP THE METFORMIN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

31. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

32. What is the first line treatment for depression

33. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

34. What ages are the Rotavirus vaccine given
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-24 months 2. 6-18 months after initial dose
2 months 4 months
10-20 hours

35. What are the effects of nicotinic acid
Zofran (Ondansetron) Reglam (metoclopromide)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years

36. What are the ages for the inactivated poliovirus
10-20 hours
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

37. What can be used to relax muscles associated with tension head aches
1. 12-24 months 2. 6-18 months after initial dose
Dolgic (Acetamenaphen + butabital)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Temazepam (Reston) Lorazepam (Ativan)

38. Withdrawal symptoms
Tetracycline Doxycycline Demeclocycline Minocycline
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Vistaril (hydroxyzine)

39. When should the varicella virus vaccine be administered
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dannitol (Phenobarbital +Atropine)
1. 12-15 months 2. 4-6 years

40. Name the tetracyclines
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline

41. IBS
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dannitol (Phenobarbital +Atropine)

42. 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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zofran (Ondansetron) Reglam (metoclopromide)

43. Name the aminoglycoside
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

44. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2-8 hours
Vyvanse (lisdexamphetamine)

45. What can be used to treat against C-difference in addition to parasites and other bacteria.
Suboxone (Buprenorphine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flagyl (Metronidazole)
Neurontin (gabapentin) Lyrica (Pregabalin)

46. Name the long acting benzodiazepines
Tricyclics
STOP THE METFORMIN
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Birth 2. 1-2 months 3. 6-18 months

47. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Zanaflex (tizanidine)
10-20 hours
Dannitol (Phenobarbital +Atropine)

48. What are anticoagulation treatment options
2 months 4 months
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Flecanide. Not to be used with LV insufficiency

49. What's the difference between CMP and BMP
Dannitol (Phenobarbital +Atropine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
A CMP is a BMP (kidney - electrolytes) PLUS liver function

50. When should the HEP A vaccine be administered
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dolgic (Acetamenaphen + butabital)
1. 12-24 months 2. 6-18 months after initial dose