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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. Withdrawal symptoms
Nomanda (memantine) Exelon (Rivastigmine)
Vistaril (hydroxyzine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

2. What are the 6 month pediatric vaccines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV

3. What is the effect of the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5
10-20 hours

4. What is used to clean ears
Nomanda (memantine) Exelon (Rivastigmine)
Flagyl (Metronidazole)
Debrox (carbamide peroxide)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

5. IBS
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dannitol (Phenobarbital +Atropine)
1. DTaP 2. PCV
Temazepam (Reston) Lorazepam (Ativan)

6. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Pregabalin
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline

7. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
Debrox (carbamide peroxide)
Tricyclics
Dolgic (Acetamenaphen + butabital)

8. High blood pressure
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
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Tetracycline Doxycycline Demeclocycline Minocycline

9. What are the 2 month pediatric vaccines
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Pregabalin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

10. Name the aminoglycoside
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
STOP THE METFORMIN
Zofran (Ondansetron) Reglam (metoclopromide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

11. Name the macrolides
Debrox (carbamide peroxide)
Erythromycin Clarithromycin Azithromycin
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)

12. What can be used for nausea
Neurogen (Filgastim)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Zofran (Ondansetron) Reglam (metoclopromide)
Tetracycline Doxycycline Demeclocycline Minocycline

13. When should the HEP A vaccine be administered
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-24 months 2. 6-18 months after initial dose
2 months 4 months
Gemofibrozil Fenofibrate Clofibrate

14. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Tessalon (benzonate)
SSRI's
Tetracycline Doxycycline Demeclocycline Minocycline

15. What is the max creatinine clearance level for metformin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Provigil (modafinil)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1.5

16. Name the statins
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

17. What is a severe side effect of metformin
1. Birth 2. 1-2 months 3. 6-18 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
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

18. What drug can be used to cardiovert AF of short duration
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Statins (18-55% reduction)
Flecanide. Not to be used with LV insufficiency
Debrox (carbamide peroxide)

19. What are some causes of pitting edema
1. Birth 2. 1-2 months 3. 6-18 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

20. What are the effects of fibric acids
2 months 4 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

21. What are the 3rd generation heterocyclic Anti depressants
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

22. Problems with welchol and diabetes
2-8 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Debrox (carbamide peroxide)
Trazodone (Desyrel) Buproprion (Wellbutrin)

23. Name the short acting benzodiazepines
1. 12-15 months 2. 4-6 years
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

24. What is the first line treatment for depression

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25. Pediatric Hepatitis vaccinations should be given when?
Zofran (Ondansetron) Reglam (metoclopromide)
Debrox (carbamide peroxide)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

26. What is the duration of short acting benzo's
2-8 hours
1. 2 months 2. 4 months 3. 12-15 months
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

27. name the SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vistaril (hydroxyzine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

28. Treatment for pre-diabetes
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 months 4 months
Flecanide. Not to be used with LV insufficiency

29. What can be used to prevent coagulation
STOP THE METFORMIN
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Zanaflex (tizanidine)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

30. What's the difference between CMP and BMP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Nomanda (memantine) Exelon (Rivastigmine)

31. What can be used to increase WBC counts
SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

32. What is the duration action of intermediate acting benzo's
SSRI's
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)

33. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Gemofibrozil Fenofibrate Clofibrate
Neurontin (gabapentin) Lyrica (Pregabalin)
STOP THE METFORMIN
Flagyl (Metronidazole)

34. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

35. What can be used to relax muscles associated with tension head aches
Flagyl (Metronidazole)
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 12-15 months
Suboxone (Buprenorphine)

36. What is Pradaxa
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years

37. What are the first generation anti depressants
Tricyclics
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

38. What are the effects of nicotinic acid
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

39. What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. 12-15 months 2. 4-6 years
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Temazepam (Reston) Lorazepam (Ativan)

40. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. DTaP 2. PCV
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
STOP THE METFORMIN

41. How do you treat low magnesium and low potassium in the hospital setting
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Flecanide. Not to be used with LV insufficiency
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years

42. What are the ages for the pneumococcal vaccine
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

43. What are the 2nd generation heterocyclic Anti depressants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Temazepam (Reston) Lorazepam (Ativan)
Trazodone (Desyrel) Buproprion (Wellbutrin)

44. name a central acting muscle relaxant
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Zanaflex (tizanidine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

45. What drug can be used for cardioversion with structural heart disease
Zanaflex (tizanidine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
Ibutilide (IV Only). It prolongs repolarization and the QT interval

46. What are some options for pain control
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Provigil (modafinil)

47. What class of drugs will lower LDL the most
1. 2 months 2. 4 months 3. 12-15 months
Vistaril (hydroxyzine)
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

48. What ages are the Rotavirus vaccine given
Proscar (finasteride)
Cholestyramine Colestipol Colesevalam
1. 12-24 months 2. 6-18 months after initial dose
2 months 4 months

49. Drug addiction and withdrawal
Dolgic (Acetamenaphen + butabital)
Suboxone (Buprenorphine)
Vyvanse (lisdexamphetamine)
1. 12-15 months 2. 4-6 years

50. 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
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)