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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. name the SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
SSRI's

2. What are the 6 month pediatric vaccines
10-20 hours
Tetracycline Doxycycline Demeclocycline Minocycline
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency

3. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Gemofibrozil Fenofibrate Clofibrate
1. 12-24 months 2. 6-18 months after initial dose
1. DTaP 2. PCV
Block serotonin and Nor epinephrine

4. When should the HEP A vaccine be administered
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
1. 12-24 months 2. 6-18 months after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

5. Withdrawal symptoms
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
2 months 4 months
Vistaril (hydroxyzine)
1. Birth 2. 1-2 months 3. 6-18 months

6. What are the ages for the Hib vaccine
Temazepam (Reston) Lorazepam (Ativan)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months

7. Neuropathic Pain management
Temazepam (Reston) Lorazepam (Ativan)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV

8. What's the difference between CMP and BMP
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurogen (Filgastim)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months

9. What are the effects of the bile acid sequestrants
1. Birth 2. 1-2 months 3. 6-18 months
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
Statins (18-55% reduction)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

10. What are the ages for the pneumococcal vaccine
Block serotonin and Nor epinephrine
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
SSRI's
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

11. What can be used to relax muscles associated with tension head aches
Pregabalin
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dolgic (Acetamenaphen + butabital)

12. What are the effects of fibric acids
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tessalon (benzonate)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

13. Name the statins
Proscar (finasteride)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Vyvanse (lisdexamphetamine)

14. Name the fibric acids
Provigil (modafinil)
Zanaflex (tizanidine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Gemofibrozil Fenofibrate Clofibrate

15. What needs to be considered when treating a patient long term with lasics
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)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

16. What is Pradaxa
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Provigil (modafinil)
2 months 4 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

17. Name the macrolides
1. DTaP 2. PCV
Erythromycin Clarithromycin Azithromycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

18. What is used to clean ears
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)

19. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
2-8 hours
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years

20. What is the max creatinine clearance level for metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1.5
Statins (18-55% reduction)

21. What can be used to improve memory
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Dannitol (Phenobarbital +Atropine)
Nomanda (memantine) Exelon (Rivastigmine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

22. What are the effects of nicotinic acid
Flagyl (Metronidazole)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years

23. What can be used to treat ADHD
1. DTaP 2. PCV
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)

24. What is an FDA approved prescription weight loss drug
Zofran (Ondansetron) Reglam (metoclopromide)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

25. What are the ages that the measles mumps and rubella vaccine administered
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years
Gemofibrozil Fenofibrate Clofibrate

26. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

27. What can be used to treat against C-difference in addition to parasites and other bacteria.
Zofran (Ondansetron) Reglam (metoclopromide)
Neurontin (gabapentin) Lyrica (Pregabalin)
Flagyl (Metronidazole)
1.5

28. What can be used for BPH
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Proscar (finasteride)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

29. How do you treat low magnesium and low potassium in the hospital setting
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Zofran (Ondansetron) Reglam (metoclopromide)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Neurogen (Filgastim)

30. Name the bile acid sequestrants
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pregabalin
1.5
Cholestyramine Colestipol Colesevalam

31. IBS
SSRI's
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dannitol (Phenobarbital +Atropine)
Tricyclics

32. What can be used to increase WBC counts
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

33. What are the 4 month pediatric vaccines
Dannitol (Phenobarbital +Atropine)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

34. Name the tetracyclines
Tessalon (benzonate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Tetracycline Doxycycline Demeclocycline Minocycline
10-20 hours

35. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 12-15 months
2-8 hours

36. What is the duration action of intermediate acting benzo's
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
10-20 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function

37. Treatment for pre-diabetes
STOP THE METFORMIN
Neurogen (Filgastim)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Erythromycin Clarithromycin Azithromycin

38. What are some options for pain control
1. 12-24 months 2. 6-18 months after initial dose
1. DTaP 2. PCV
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
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

39. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Tricyclics
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

40. What ages the are the DTaP vaccine given
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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)
Suboxone (Buprenorphine)

41. What are the 2nd generation heterocyclic Anti depressants
Dolgic (Acetamenaphen + butabital)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 12-15 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

42. name a central acting muscle relaxant
Flagyl (Metronidazole)
Erythromycin Clarithromycin Azithromycin
Zanaflex (tizanidine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

43. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Tricyclics
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

44. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 months 3. 6-18 months
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

45. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Cholestyramine Colestipol Colesevalam
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Temazepam (Reston) Lorazepam (Ativan)

46. What are the first generation anti depressants
Tricyclics
Provigil (modafinil)
Pregabalin
STOP THE METFORMIN

47. When should the varicella virus vaccine be administered
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Statins (18-55% reduction)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

48. What drug can be used for cardioversion with structural heart disease
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

49. What can be used to prevent coagulation
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Erythromycin Clarithromycin Azithromycin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

50. What drug is used to tx narcolepsy
Block serotonin and Nor epinephrine
Flecanide. Not to be used with LV insufficiency
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide