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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. IBS
1. 12-24 months 2. 6-18 months after initial dose
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Neurogen (Filgastim)
Dannitol (Phenobarbital +Atropine)

2. What is the first line treatment for depression

3. What are some causes of pitting edema
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Block serotonin and Nor epinephrine
1. DTaP 2. PCV
1. 12-15 months 2. 4-6 years

4. What are the ages for the inactivated poliovirus
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

5. Drug addiction and withdrawal
Flagyl (Metronidazole)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

6. Pediatric Hepatitis vaccinations should be given when?
Provigil (modafinil)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

7. 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
1. 12-15 months 2. 4-6 years
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

8. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Proscar (finasteride)
STOP THE METFORMIN
Block serotonin and Nor epinephrine

9. High blood pressure
Flecanide. Not to be used with LV insufficiency
Pregabalin
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

10. What can be used for BPH
Proscar (finasteride)
STOP THE METFORMIN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Nomanda (memantine) Exelon (Rivastigmine)

11. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Suboxone (Buprenorphine)
Proscar (finasteride)
Cholestyramine Colestipol Colesevalam

12. Name the bile acid sequestrants
1. 12-24 months 2. 6-18 months after initial dose
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

13. What are the 3rd generation heterocyclic Anti depressants
Neurontin (gabapentin) Lyrica (Pregabalin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pregabalin

14. Name the long acting benzodiazepines
Erythromycin Clarithromycin Azithromycin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. DTaP 2. PCV

15. 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. 6-18 months 4. 4-6 years
Flagyl (Metronidazole)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

16. Name the short acting benzodiazepines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tessalon (benzonate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

17. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Suboxone (Buprenorphine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. DTaP 2. PCV

18. What are the ages for the pneumococcal vaccine
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

19. What ages the are the DTaP vaccine given
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

20. What are the 2nd generation heterocyclic Anti depressants
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Trazodone (Desyrel) Buproprion (Wellbutrin)

21. What is a severe side effect of metformin
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
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
1.5

22. What is the duration action of intermediate acting benzo's
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
10-20 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

23. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)

24. What is an FDA approved prescription weight loss drug
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

25. What can be used to relax muscles associated with tension head aches
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurontin (gabapentin) Lyrica (Pregabalin)
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

26. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

27. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Temazepam (Reston) Lorazepam (Ativan)
Block serotonin and Nor epinephrine

28. name the SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
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)
Zanaflex (tizanidine)

29. What are the effects of fibric acids
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

30. Neuropathic Pain management
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tessalon (benzonate)
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

31. Name the aminoglycoside
Vistaril (hydroxyzine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Vyvanse (lisdexamphetamine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

32. Name the tetracyclines
2 months 4 months
Tetracycline Doxycycline Demeclocycline Minocycline
Erythromycin Clarithromycin Azithromycin
1. DTaP 2. PCV

33. When should the varicella virus vaccine be administered
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)

34. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

35. What class of drugs will lower LDL the most
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Statins (18-55% reduction)
2-8 hours

36. When should the HEP A vaccine be administered
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tetracycline Doxycycline Demeclocycline Minocycline
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose

37. What ages are the Hep B vaccine given
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Erythromycin Clarithromycin Azithromycin
1. Birth 2. 1-2 months 3. 6-18 months

38. What is Pradaxa
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1.5

39. What can be used to increase WBC counts
Neurogen (Filgastim)
Erythromycin Clarithromycin Azithromycin
Debrox (carbamide peroxide)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

40. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
1. 2 months 2. 4 months 3. 12-15 months

41. Treatment for pre-diabetes
Suboxone (Buprenorphine)
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
1. 12-24 months 2. 6-18 months after initial dose

42. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

43. What can be used for nausea
Statins (18-55% reduction)
Neurontin (gabapentin) Lyrica (Pregabalin)
Zofran (Ondansetron) Reglam (metoclopromide)
Dannitol (Phenobarbital +Atropine)

44. What are the 2 month pediatric vaccines
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 months 4 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 months 3. 6-18 months

45. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
STOP THE METFORMIN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

46. Withdrawal symptoms
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)
Statins (18-55% reduction)

47. What drug can be used for cardioversion with structural heart disease
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Cholestyramine Colestipol Colesevalam
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Tetracycline Doxycycline Demeclocycline Minocycline

48. What is the max creatinine clearance level for metformin
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 12-15 months

49. What are the effects of the bile acid sequestrants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

50. What is the effect of the statins
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
SSRI's