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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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 intermediate acting benzodiazepines
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Cholestyramine Colestipol Colesevalam
Temazepam (Reston) Lorazepam (Ativan)

2. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 months 3. 6-18 months
Vistaril (hydroxyzine)

3. Erythematous Nodosum
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

4. What are the 2 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Gemofibrozil Fenofibrate Clofibrate
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

5. What is the duration of short acting benzo's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Birth 2. 1-2 months 3. 6-18 months
2-8 hours
1. 12-15 months 2. 4-6 years

6. Problems with welchol and diabetes
1. 12-24 months 2. 6-18 months after initial dose
Proscar (finasteride)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flecanide. Not to be used with LV insufficiency

7. What ages the are the DTaP vaccine given
SSRI's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
10-20 hours

8. Name the short acting benzodiazepines
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Temazepam (Reston) Lorazepam (Ativan)

9. How do you treat low magnesium and low potassium in the hospital setting
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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. DTaP 2. PCV

10. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Block serotonin and Nor epinephrine

11. High blood pressure
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
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

12. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Nomanda (memantine) Exelon (Rivastigmine)
Statins (18-55% reduction)
Tricyclics

13. What is the effect of the statins
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
STOP THE METFORMIN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

14. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
1.5
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
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

15. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

16. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Temazepam (Reston) Lorazepam (Ativan)
Zofran (Ondansetron) Reglam (metoclopromide)

17. What are the ages for the Hib vaccine
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 12-15 months
Suboxone (Buprenorphine)

18. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Tricyclics

19. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
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
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

20. What is Pradaxa
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

21. What drug is used to tx narcolepsy
Provigil (modafinil)
Pregabalin
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. DTaP 2. PCV

22. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Debrox (carbamide peroxide)

23. What are the 6 month pediatric vaccines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. DTaP 2. PCV

24. What can be used for BPH
Neurontin (gabapentin) Lyrica (Pregabalin)
Tricyclics
Proscar (finasteride)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

25. IBS
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)
Dannitol (Phenobarbital +Atropine)

26. Name the macrolides
A CMP is a BMP (kidney - electrolytes) PLUS liver function
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
Erythromycin Clarithromycin Azithromycin

27. What are some options for pain control
1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
STOP THE METFORMIN
Zofran (Ondansetron) Reglam (metoclopromide)

28. Neuropathic Pain management
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurontin (gabapentin) Lyrica (Pregabalin)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Statins (18-55% reduction)

29. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. DTaP 2. PCV
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

30. What's the difference between CMP and BMP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Block serotonin and Nor epinephrine

31. Name the fibric acids
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Gemofibrozil Fenofibrate Clofibrate
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

32. name the SSRI's
Neurogen (Filgastim)
1. 12-24 months 2. 6-18 months after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
STOP THE METFORMIN

33. What are the first generation anti depressants
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Erythromycin Clarithromycin Azithromycin
Dolgic (Acetamenaphen + butabital)
Tricyclics

34. Name the long acting benzodiazepines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

35. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Tricyclics
Flecanide. Not to be used with LV insufficiency
STOP THE METFORMIN
Flagyl (Metronidazole)

36. Pediatric Hepatitis vaccinations should be given when?
Erythromycin Clarithromycin Azithromycin
Vyvanse (lisdexamphetamine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pregabalin

37. What is the max creatinine clearance level for metformin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dannitol (Phenobarbital +Atropine)
Tricyclics
1.5

38. When should the HEP A vaccine be administered
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dannitol (Phenobarbital +Atropine)
1. 12-24 months 2. 6-18 months after initial dose

39. What can be used to relax muscles associated with tension head aches
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Provigil (modafinil)
Block serotonin and Nor epinephrine
Dolgic (Acetamenaphen + butabital)

40. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Block serotonin and Nor epinephrine
Pregabalin
Gemofibrozil Fenofibrate Clofibrate
Flagyl (Metronidazole)

41. What class of drugs will lower LDL the most
Temazepam (Reston) Lorazepam (Ativan)
Zanaflex (tizanidine)
Statins (18-55% reduction)
Pregabalin

42. What can be used for cough suppression
Tessalon (benzonate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
Nomanda (memantine) Exelon (Rivastigmine)

43. Treatment for pre-diabetes
2-8 hours
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Zofran (Ondansetron) Reglam (metoclopromide)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

44. What are the ages for the inactivated poliovirus
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1.5
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

45. What is the benefit of Welchol
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 12-24 months 2. 6-18 months after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

46. What are some causes of pitting edema
2 months 4 months
Proscar (finasteride)
1. 2 months 2. 4 months 3. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

47. name a central acting muscle relaxant
Zanaflex (tizanidine)
Nomanda (memantine) Exelon (Rivastigmine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
SSRI's

48. What can be used to treat ADHD
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam

49. What are the ages for the pneumococcal vaccine
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
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
Nomanda (memantine) Exelon (Rivastigmine)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

50. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Neurogen (Filgastim)
Provigil (modafinil)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide