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Family Medicine Treatment Options

Subjects : health-sciences, family-medicine

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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 class of drugs will lower LDL the most
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Statins (18-55% reduction)

2. What are the effects of fibric acids
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. DTaP 2. PCV

3. What needs to be considered when treating a patient long term with lasics
Tessalon (benzonate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

4. What are the ages for the pneumococcal vaccine
Pregabalin
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 months 4 months

5. High blood pressure
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tricyclics
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

6. What is a severe side effect of metformin
2 months 4 months
2-8 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

7. Withdrawal symptoms
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Statins (18-55% reduction)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vistaril (hydroxyzine)

8. Name the short acting benzodiazepines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Block serotonin and Nor epinephrine
Zofran (Ondansetron) Reglam (metoclopromide)

9. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Pregabalin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

10. What can be used to relax muscles associated with tension head aches
Dolgic (Acetamenaphen + butabital)
1. DTaP 2. PCV
Tricyclics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

11. What drug is used to tx narcolepsy
Provigil (modafinil)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

12. Pediatric Hepatitis vaccinations should be given when?
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tricyclics
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

13. When should the varicella virus vaccine be administered
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
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)
1. 12-15 months 2. 4-6 years

14. What is used to clean ears
1. DTaP 2. PCV
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

15. What are the ages that the measles mumps and rubella vaccine administered
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years
Proscar (finasteride)

16. What is an FDA approved prescription weight loss drug
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

17. When should the HEP A vaccine be administered
1. 12-15 months 2. 4-6 years
1. 12-24 months 2. 6-18 months after initial dose
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

18. What are the first generation anti depressants
Tricyclics
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Erythromycin Clarithromycin Azithromycin
Proscar (finasteride)

19. What ages are the Rotavirus vaccine given
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate
Dannitol (Phenobarbital +Atropine)
Statins (18-55% reduction)

20. What can be used to prevent coagulation
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months
2 months 4 months

21. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Flagyl (Metronidazole)
Vistaril (hydroxyzine)

22. Treatment for pre-diabetes
2 months 4 months
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
10-20 hours

23. What are some options for pain control
Vistaril (hydroxyzine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-24 months 2. 6-18 months after initial dose

24. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose

25. Drug addiction and withdrawal
Vyvanse (lisdexamphetamine)
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
Suboxone (Buprenorphine)
Debrox (carbamide peroxide)

26. If a patient is on metformin and about to undergo contrast imaging - what must be done.
SSRI's
STOP THE METFORMIN
Debrox (carbamide peroxide)
Temazepam (Reston) Lorazepam (Ativan)

27. What can be used to treat ADHD
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Block serotonin and Nor epinephrine
Vyvanse (lisdexamphetamine)

28. What can be used to increase WBC counts
Statins (18-55% reduction)
SSRI's
Proscar (finasteride)
Neurogen (Filgastim)

29. What ages are the Hep B vaccine given
1. Birth 2. 1-2 months 3. 6-18 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Statins (18-55% reduction)

30. What are the 4 month pediatric vaccines
Flecanide. Not to be used with LV insufficiency
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Temazepam (Reston) Lorazepam (Ativan)

31. What is the max creatinine clearance level for metformin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flecanide. Not to be used with LV insufficiency
1.5
Dolgic (Acetamenaphen + butabital)

32. How do you treat low magnesium and low potassium in the hospital setting
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 months 3. 6-18 months
Dannitol (Phenobarbital +Atropine)

33. What is the first line treatment for depression

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34. Name the fibric acids
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pregabalin
Gemofibrozil Fenofibrate Clofibrate

35. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2 months 4 months
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

36. Name the bile acid sequestrants
Cholestyramine Colestipol Colesevalam
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tricyclics
Zanaflex (tizanidine)

37. What are the 6 month pediatric vaccines
Zofran (Ondansetron) Reglam (metoclopromide)
Flagyl (Metronidazole)
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
1. DTaP 2. PCV

38. Name the intermediate acting benzodiazepines
Cholestyramine Colestipol Colesevalam
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)

39. Name the aminoglycoside
2 months 4 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

40. What are the 3rd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Tessalon (benzonate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

41. Erythematous Nodosum
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

42. What ages the are the DTaP vaccine given
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Provigil (modafinil)

43. Name the macrolides
Gemofibrozil Fenofibrate Clofibrate
Erythromycin Clarithromycin Azithromycin
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

44. What are some causes of pitting edema
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 12-15 months
Provigil (modafinil)

45. What drug can be used for cardioversion with structural heart disease
Suboxone (Buprenorphine)
1.5
Zofran (Ondansetron) Reglam (metoclopromide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

46. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-24 months 2. 6-18 months after initial dose

47. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Flagyl (Metronidazole)

48. What is the duration action of intermediate acting benzo's
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
10-20 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Tessalon (benzonate)

49. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

50. What is the benefit of Welchol
2 months 4 months
Tessalon (benzonate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
10-20 hours

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