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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 drug is used to tx narcolepsy
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)

2. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
STOP THE METFORMIN
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
10-20 hours

3. What is the duration action of intermediate acting benzo's
Neurogen (Filgastim)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
10-20 hours

4. What are the effects of the bile acid sequestrants
Block serotonin and Nor epinephrine
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

5. What can be used to relax muscles associated with tension head aches
Provigil (modafinil)
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
Erythromycin Clarithromycin Azithromycin

6. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

7. What are anticoagulation treatment options
Zanaflex (tizanidine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tessalon (benzonate)

8. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Zofran (Ondansetron) Reglam (metoclopromide)
STOP THE METFORMIN
Suboxone (Buprenorphine)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

9. What are some options for pain control
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Tricyclics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

10. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 months 3. 6-18 months
10-20 hours
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

11. What are the effects of fibric acids
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Block serotonin and Nor epinephrine
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

12. Name the intermediate acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
Flagyl (Metronidazole)
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)

13. Problems with welchol and diabetes
SSRI's
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Pregabalin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

14. What ages are the Rotavirus vaccine given
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

15. Name the aminoglycoside
Tessalon (benzonate)
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

16. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vistaril (hydroxyzine)

17. Name the short acting benzodiazepines
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
SSRI's
Tricyclics
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

18. What are the first generation anti depressants
Dolgic (Acetamenaphen + butabital)
Zofran (Ondansetron) Reglam (metoclopromide)
Temazepam (Reston) Lorazepam (Ativan)
Tricyclics

19. What is a severe side effect of metformin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1.5
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

20. When should the varicella virus vaccine be administered
2 months 4 months
1. 12-15 months 2. 4-6 years
Vyvanse (lisdexamphetamine)
Tricyclics

21. When should the HEP A vaccine be administered
1. DTaP 2. PCV
Temazepam (Reston) Lorazepam (Ativan)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-24 months 2. 6-18 months after initial dose

22. What are the 6 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. DTaP 2. PCV
Erythromycin Clarithromycin Azithromycin

23. What is the first line treatment for depression

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24. Name the macrolides
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Erythromycin Clarithromycin Azithromycin
1.5

25. What is the max creatinine clearance level for metformin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 12-15 months 2. 4-6 years
1.5

26. What can be used for BPH
Flecanide. Not to be used with LV insufficiency
Proscar (finasteride)
10-20 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

27. What are the 3rd generation heterocyclic Anti depressants
Gemofibrozil Fenofibrate Clofibrate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Temazepam (Reston) Lorazepam (Ativan)

28. What are the ages that the measles mumps and rubella vaccine administered
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. Name the fibric acids
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)
Vyvanse (lisdexamphetamine)
Gemofibrozil Fenofibrate Clofibrate

30. What can be used for cough suppression
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vistaril (hydroxyzine)

31. What is an FDA approved prescription weight loss drug
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2-8 hours
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

32. What are the 2 month pediatric vaccines
Cholestyramine Colestipol Colesevalam
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

33. What are the ages for the inactivated poliovirus
Block serotonin and Nor epinephrine
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tricyclics
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

34. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency
Pregabalin

35. IBS
Zanaflex (tizanidine)
Dannitol (Phenobarbital +Atropine)
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

36. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
Block serotonin and Nor epinephrine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

37. What are the effects of nicotinic acid
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%)
SSRI's
1. 2 months 2. 4 months 3. 12-15 months

38. What is the duration of short acting benzo's
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1.5
2-8 hours

39. How do you treat low magnesium and low potassium in the hospital setting
Temazepam (Reston) Lorazepam (Ativan)
Nomanda (memantine) Exelon (Rivastigmine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Cholestyramine Colestipol Colesevalam

40. What are the 2nd generation heterocyclic Anti depressants
Provigil (modafinil)
2-8 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

41. What can be used to increase WBC counts
Nomanda (memantine) Exelon (Rivastigmine)
Neurogen (Filgastim)
Vistaril (hydroxyzine)
Flagyl (Metronidazole)

42. name a central acting muscle relaxant
STOP THE METFORMIN
Dolgic (Acetamenaphen + butabital)
Zanaflex (tizanidine)
Pregabalin

43. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Zofran (Ondansetron) Reglam (metoclopromide)
1. Birth 2. 1-2 months 3. 6-18 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

44. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 12-15 months
Provigil (modafinil)

45. What can be used to prevent coagulation
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurontin (gabapentin) Lyrica (Pregabalin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Ibutilide (IV Only). It prolongs repolarization and the QT interval

46. What can be used for nausea
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin

47. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours
Flecanide. Not to be used with LV insufficiency

48. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
Provigil (modafinil)
Block serotonin and Nor epinephrine

49. Drug addiction and withdrawal
Suboxone (Buprenorphine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

50. What class of drugs will lower LDL the most
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Vistaril (hydroxyzine)
Statins (18-55% reduction)
Nomanda (memantine) Exelon (Rivastigmine)