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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 is the duration of short acting benzo's
10-20 hours
2-8 hours
Provigil (modafinil)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

2. Treatment for pre-diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Tessalon (benzonate)

3. name a central acting muscle relaxant
Zanaflex (tizanidine)
Suboxone (Buprenorphine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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

4. What ages are the Rotavirus vaccine given
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 months 4 months

5. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)
1. Birth 2. 1-2 months 3. 6-18 months
Vistaril (hydroxyzine)

6. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. Birth 2. 1-2 months 3. 6-18 months
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

7. What ages the are the DTaP vaccine given
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurogen (Filgastim)
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

8. Name the intermediate acting benzodiazepines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Temazepam (Reston) Lorazepam (Ativan)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

9. What are the ages for the Hib vaccine
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)

10. What needs to be considered when treating a patient long term with lasics
Block serotonin and Nor epinephrine
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
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

11. What is the first line treatment for depression

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12. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Gemofibrozil Fenofibrate Clofibrate

13. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV
1. Birth 2. 1-2 months 3. 6-18 months
Tessalon (benzonate)

14. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
10-20 hours
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Cholestyramine Colestipol Colesevalam

15. What drug is used to tx narcolepsy
Suboxone (Buprenorphine)
Block serotonin and Nor epinephrine
Provigil (modafinil)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

16. What is Pradaxa
1. DTaP 2. PCV
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Provigil (modafinil)

17. When should the varicella virus vaccine be administered
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1.5
1. 12-15 months 2. 4-6 years

18. What are the 2nd generation heterocyclic Anti depressants
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Trazodone (Desyrel) Buproprion (Wellbutrin)

19. What can be used to increase WBC counts
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
STOP THE METFORMIN
Neurogen (Filgastim)

20. Name the statins
Gemofibrozil Fenofibrate Clofibrate
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flecanide. Not to be used with LV insufficiency

21. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

22. What can be used to relax muscles associated with tension head aches
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dolgic (Acetamenaphen + butabital)

23. What ages are the Hep B vaccine given
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Dolgic (Acetamenaphen + butabital)

24. What can be used to treat ADHD
2 months 4 months
Vyvanse (lisdexamphetamine)
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)

25. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2-8 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vyvanse (lisdexamphetamine)

26. What can be used to prevent coagulation
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Suboxone (Buprenorphine)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

27. What can be used for BPH
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Proscar (finasteride)
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

28. Drug addiction and withdrawal
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)

29. High blood pressure
Block serotonin and Nor epinephrine
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
Zofran (Ondansetron) Reglam (metoclopromide)
1. DTaP 2. PCV

30. What can be used for nausea
Block serotonin and Nor epinephrine
Zofran (Ondansetron) Reglam (metoclopromide)
Pregabalin
Flagyl (Metronidazole)

31. What drug can be used for cardioversion with structural heart disease
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Ibutilide (IV Only). It prolongs repolarization and the QT interval

32. What are the effects of fibric acids
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Zofran (Ondansetron) Reglam (metoclopromide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

33. What is the duration action of intermediate acting benzo's
Vistaril (hydroxyzine)
STOP THE METFORMIN
10-20 hours
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

34. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurontin (gabapentin) Lyrica (Pregabalin)
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

35. What is the effect of the statins
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

36. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Temazepam (Reston) Lorazepam (Ativan)
STOP THE METFORMIN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Neurontin (gabapentin) Lyrica (Pregabalin)

37. What are the 4 month pediatric vaccines
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

38. What are the first generation anti depressants
Tetracycline Doxycycline Demeclocycline Minocycline
STOP THE METFORMIN
Tricyclics
1. 12-24 months 2. 6-18 months after initial dose

39. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

40. Name the bile acid sequestrants
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

41. Name the fibric acids
Tetracycline Doxycycline Demeclocycline Minocycline
SSRI's
Gemofibrozil Fenofibrate Clofibrate
STOP THE METFORMIN

42. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
SSRI's

43. What are the 2 month pediatric vaccines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-15 months 2. 4-6 years
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. What is the max creatinine clearance level for metformin
1.5
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

45. name the SSRI's
1.5
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

46. What can be used to treat against C-difference in addition to parasites and other bacteria.
2 months 4 months
Flagyl (Metronidazole)
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

47. IBS
Trazodone (Desyrel) Buproprion (Wellbutrin)
Dannitol (Phenobarbital +Atropine)
2 months 4 months
STOP THE METFORMIN

48. What is an FDA approved prescription weight loss drug
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

49. What are the ages for the pneumococcal vaccine
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Proscar (finasteride)

50. Name the tetracyclines
1. Birth 2. 1-2 months 3. 6-18 months
Debrox (carbamide peroxide)
Tetracycline Doxycycline Demeclocycline Minocycline
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)