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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 are the ages for the Hib vaccine
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 12-15 months

2. Withdrawal symptoms
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Vistaril (hydroxyzine)

3. What can be used to prevent coagulation
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Proscar (finasteride)
Zanaflex (tizanidine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

4. What can be used to relax muscles associated with tension head aches
2 months 4 months
Dolgic (Acetamenaphen + butabital)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Provigil (modafinil)

5. What are the 4 month pediatric vaccines
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Flecanide. Not to be used with LV insufficiency

6. When should the HEP A vaccine be administered
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 12-24 months 2. 6-18 months after initial dose
Provigil (modafinil)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

7. Drug addiction and withdrawal
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Suboxone (Buprenorphine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

8. What are the first generation anti depressants
Flecanide. Not to be used with LV insufficiency
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tricyclics
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

9. What drug can be used to cardiovert AF of short duration
Erythromycin Clarithromycin Azithromycin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Flecanide. Not to be used with LV insufficiency
Dannitol (Phenobarbital +Atropine)

10. What drug is used to tx narcolepsy
Flagyl (Metronidazole)
Vistaril (hydroxyzine)
Provigil (modafinil)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

11. Problems with welchol and diabetes
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tricyclics
A CMP is a BMP (kidney - electrolytes) PLUS liver function

12. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
STOP THE METFORMIN
Proscar (finasteride)
Erythromycin Clarithromycin Azithromycin

13. What is a severe side effect of metformin
1. 12-15 months 2. 4-6 years
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 12-15 months 2. 4-6 years
SSRI's

14. Name the intermediate acting benzodiazepines
Tetracycline Doxycycline Demeclocycline Minocycline
Temazepam (Reston) Lorazepam (Ativan)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)

15. What are the ages for the pneumococcal vaccine
Tetracycline Doxycycline Demeclocycline Minocycline
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

16. What ages are the Hep B vaccine given
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
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. Birth 2. 1-2 months 3. 6-18 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

17. What is the duration action of intermediate acting benzo's
10-20 hours
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Flagyl (Metronidazole)
Pregabalin

18. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN
Zanaflex (tizanidine)
Pregabalin

19. What are the ages for the inactivated poliovirus
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dannitol (Phenobarbital +Atropine)
Temazepam (Reston) Lorazepam (Ativan)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

20. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

21. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Dolgic (Acetamenaphen + butabital)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Statins (18-55% reduction)

22. What is the first line treatment for depression

23. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Nomanda (memantine) Exelon (Rivastigmine)
Block serotonin and Nor epinephrine

24. What can be used for nausea
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
2-8 hours
Zofran (Ondansetron) Reglam (metoclopromide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

25. What can be used for cough suppression
Vyvanse (lisdexamphetamine)
Tricyclics
2-8 hours
Tessalon (benzonate)

26. IBS
Temazepam (Reston) Lorazepam (Ativan)
Dannitol (Phenobarbital +Atropine)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

27. What can be used for BPH
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
2-8 hours
Tessalon (benzonate)

28. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

29. Name the bile acid sequestrants
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Cholestyramine Colestipol Colesevalam
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Zofran (Ondansetron) Reglam (metoclopromide)

30. What are the 2nd generation heterocyclic Anti depressants
Zofran (Ondansetron) Reglam (metoclopromide)
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Nomanda (memantine) Exelon (Rivastigmine)

31. What needs to be considered when treating a patient long term with lasics
1. DTaP 2. PCV
Flecanide. Not to be used with LV insufficiency
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. Treatment for pre-diabetes
Suboxone (Buprenorphine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Erythromycin Clarithromycin Azithromycin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

33. What is used to clean ears
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
2 months 4 months

34. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Zanaflex (tizanidine)
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

35. Name the aminoglycoside
Block serotonin and Nor epinephrine
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
10-20 hours
Flecanide. Not to be used with LV insufficiency

36. Name the statins
Debrox (carbamide peroxide)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Erythromycin Clarithromycin Azithromycin
Tetracycline Doxycycline Demeclocycline Minocycline

37. name a central acting muscle relaxant
2-8 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Zanaflex (tizanidine)

38. What can be used to treat against C-difference in addition to parasites and other bacteria.
Flagyl (Metronidazole)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vistaril (hydroxyzine)

39. Neuropathic Pain management
Tetracycline Doxycycline Demeclocycline Minocycline
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Neurontin (gabapentin) Lyrica (Pregabalin)
Dannitol (Phenobarbital +Atropine)

40. Name the long acting benzodiazepines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Neurogen (Filgastim)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

41. What is the max creatinine clearance level for metformin
2 months 4 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tricyclics
1.5

42. What are the 2 month pediatric vaccines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2 months 4 months
Flagyl (Metronidazole)

43. When should the varicella virus vaccine be administered
Tessalon (benzonate)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-15 months 2. 4-6 years

44. What is the duration of short acting benzo's
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Proscar (finasteride)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2-8 hours

45. What drug can be used for cardioversion with structural heart disease
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
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Nomanda (memantine) Exelon (Rivastigmine)

46. What are some causes of pitting edema
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
10-20 hours

47. Pediatric Hepatitis vaccinations should be given when?
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Zanaflex (tizanidine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

48. name the SSRI's
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

49. What are the ages that the measles mumps and rubella vaccine administered
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

50. What are the effects of fibric acids
1. DTaP 2. PCV
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1.5
Provigil (modafinil)