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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. IBS
Dannitol (Phenobarbital +Atropine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
A CMP is a BMP (kidney - electrolytes) PLUS liver function

2. Name the short acting benzodiazepines
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
2-8 hours
STOP THE METFORMIN

3. What is the first line treatment for depression

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4. What is a severe side effect of metformin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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

5. What are the 2nd generation heterocyclic Anti depressants
Gemofibrozil Fenofibrate Clofibrate
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)

6. Name the fibric acids
Neurontin (gabapentin) Lyrica (Pregabalin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Gemofibrozil Fenofibrate Clofibrate
Vistaril (hydroxyzine)

7. name the SSRI's
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

8. What class of drugs will lower LDL the most
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)
Statins (18-55% reduction)

9. What are the 3rd generation heterocyclic Anti depressants
Neurogen (Filgastim)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

10. What are the effects of the bile acid sequestrants
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
2 months 4 months
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

11. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Flagyl (Metronidazole)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

12. What drug is used to tx narcolepsy
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months
Provigil (modafinil)
Suboxone (Buprenorphine)

13. Name the tetracyclines
Neurontin (gabapentin) Lyrica (Pregabalin)
Tetracycline Doxycycline Demeclocycline Minocycline
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

14. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)
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
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

15. What ages the are the DTaP vaccine given
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Trazodone (Desyrel) Buproprion (Wellbutrin)

16. What are some causes of pitting edema
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

17. What is the duration action of intermediate acting benzo's
10-20 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

18. What are the 6 month pediatric vaccines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. DTaP 2. PCV

19. What is used to clean ears
Zanaflex (tizanidine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Debrox (carbamide peroxide)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

20. What is Pradaxa
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin
Erythromycin Clarithromycin Azithromycin

21. What are the 4 month pediatric vaccines
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)
Suboxone (Buprenorphine)

22. What can be used for cough suppression
Tessalon (benzonate)
Temazepam (Reston) Lorazepam (Ativan)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flagyl (Metronidazole)

23. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Vistaril (hydroxyzine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

24. Erythematous Nodosum
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Ibutilide (IV Only). It prolongs repolarization and the QT interval
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Pregabalin

25. What drug can be used to cardiovert AF of short duration
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dannitol (Phenobarbital +Atropine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency

26. High blood pressure
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
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

27. How do you treat low magnesium and low potassium in the hospital setting
Dannitol (Phenobarbital +Atropine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tricyclics
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

28. What needs to be considered when treating a patient long term with lasics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

29. What are the 2 month pediatric vaccines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

30. What ages are the Rotavirus vaccine given
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
2 months 4 months

31. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)
1.5

32. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Debrox (carbamide peroxide)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vistaril (hydroxyzine)

33. Name the bile acid sequestrants
10-20 hours
Tricyclics
Cholestyramine Colestipol Colesevalam
Flagyl (Metronidazole)

34. What can be used to relax muscles associated with tension head aches
1. DTaP 2. PCV
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Dolgic (Acetamenaphen + butabital)

35. Drug addiction and withdrawal
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
Suboxone (Buprenorphine)

36. Name the macrolides
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Dannitol (Phenobarbital +Atropine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Erythromycin Clarithromycin Azithromycin

37. Name the statins
10-20 hours
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

38. When should the varicella virus vaccine be administered
1.5
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Cholestyramine Colestipol Colesevalam

39. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pregabalin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Erythromycin Clarithromycin Azithromycin

40. What are the ages for the inactivated poliovirus
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 months 4 months

41. What are the effects of nicotinic acid
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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%)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

42. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

43. Neuropathic Pain management
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Tetracycline Doxycycline Demeclocycline Minocycline
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Neurontin (gabapentin) Lyrica (Pregabalin)

44. Problems with welchol and diabetes
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurogen (Filgastim)
Tessalon (benzonate)

45. What can be used to treat against C-difference in addition to parasites and other bacteria.
STOP THE METFORMIN
2-8 hours
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
Flagyl (Metronidazole)

46. name a central acting muscle relaxant
Statins (18-55% reduction)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
10-20 hours
Zanaflex (tizanidine)

47. What can be used for BPH
Proscar (finasteride)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
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

48. What are the ages for the Hib vaccine
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

49. What are the ages for the pneumococcal vaccine
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zofran (Ondansetron) Reglam (metoclopromide)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

50. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
Flagyl (Metronidazole)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses