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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 an FDA approved prescription weight loss drug
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

2. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 12-15 months 2. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval
STOP THE METFORMIN
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

3. What is Pradaxa
Pregabalin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

4. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Proscar (finasteride)
Statins (18-55% reduction)

5. What are the 6 month pediatric vaccines
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Statins (18-55% reduction)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. DTaP 2. PCV

6. name a central acting muscle relaxant
Zanaflex (tizanidine)
Flecanide. Not to be used with LV insufficiency
Neurogen (Filgastim)
Suboxone (Buprenorphine)

7. What can be used to increase WBC counts
Zofran (Ondansetron) Reglam (metoclopromide)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Neurogen (Filgastim)
1. 12-15 months 2. 4-6 years

8. What can be used to relax muscles associated with tension head aches
Dannitol (Phenobarbital +Atropine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Dolgic (Acetamenaphen + butabital)

9. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
SSRI's
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 12-15 months 2. 4-6 years
Pregabalin

10. What is the max creatinine clearance level for metformin
1.5
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. 12-15 months 2. 4-6 years

11. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Vistaril (hydroxyzine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

12. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Proscar (finasteride)
Flagyl (Metronidazole)
Debrox (carbamide peroxide)

13. What are the effects of the bile acid sequestrants
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Block serotonin and Nor epinephrine

14. What can be used to treat against C-difference in addition to parasites and other bacteria.
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flagyl (Metronidazole)
Proscar (finasteride)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

15. What can be used for nausea
Debrox (carbamide peroxide)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

16. Name the macrolides
Erythromycin Clarithromycin Azithromycin
Flecanide. Not to be used with LV insufficiency
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

17. Name the statins
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Nomanda (memantine) Exelon (Rivastigmine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

18. What is the duration action of intermediate acting benzo's
2-8 hours
10-20 hours
Vistaril (hydroxyzine)
1. 12-15 months 2. 4-6 years

19. What's the difference between CMP and BMP
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

20. Name the tetracyclines
1.5
Tetracycline Doxycycline Demeclocycline Minocycline
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

21. Drug addiction and withdrawal
Zofran (Ondansetron) Reglam (metoclopromide)
Suboxone (Buprenorphine)
2-8 hours
SSRI's

22. Pediatric Hepatitis vaccinations should be given when?
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

23. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 months 4 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

24. High blood pressure
Gemofibrozil Fenofibrate Clofibrate
1. 12-15 months 2. 4-6 years
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
Block serotonin and Nor epinephrine

25. What are the 2 month pediatric vaccines
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
Tetracycline Doxycycline Demeclocycline Minocycline

26. What is the benefit of Welchol
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)

27. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Statins (18-55% reduction)

28. What can be used to improve memory
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Nomanda (memantine) Exelon (Rivastigmine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

29. What is used to clean ears
SSRI's
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Debrox (carbamide peroxide)

30. Name the intermediate acting benzodiazepines
Block serotonin and Nor epinephrine
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 months 3. 6-18 months
Erythromycin Clarithromycin Azithromycin

31. What can be used to prevent coagulation
Block serotonin and Nor epinephrine
Cholestyramine Colestipol Colesevalam
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months

32. What drug can be used for cardioversion with structural heart disease
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

33. What is the effect of the statins
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Dolgic (Acetamenaphen + butabital)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

34. Name the short acting benzodiazepines
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

35. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Flagyl (Metronidazole)
Block serotonin and Nor epinephrine
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vyvanse (lisdexamphetamine)

36. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zofran (Ondansetron) Reglam (metoclopromide)

37. What needs to be considered when treating a patient long term with lasics
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
10-20 hours
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

38. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Vyvanse (lisdexamphetamine)
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

39. What are the 3rd generation heterocyclic Anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
2 months 4 months
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

40. When should the HEP A vaccine be administered
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)
1. 12-24 months 2. 6-18 months after initial dose
Erythromycin Clarithromycin Azithromycin

41. Withdrawal symptoms
Vistaril (hydroxyzine)
Erythromycin Clarithromycin Azithromycin
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

42. Problems with welchol and diabetes
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

43. What can be used for BPH
Dannitol (Phenobarbital +Atropine)
Cholestyramine Colestipol Colesevalam
Proscar (finasteride)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. What are some causes of pitting edema
Neurogen (Filgastim)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Tetracycline Doxycycline Demeclocycline Minocycline

45. What are the ages for the pneumococcal vaccine
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
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

46. What drug is used to tx narcolepsy
Flagyl (Metronidazole)
Provigil (modafinil)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Tricyclics

47. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

48. What is the first line treatment for depression

49. What are the first generation anti depressants
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
Tricyclics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

50. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Flecanide. Not to be used with LV insufficiency
Vistaril (hydroxyzine)