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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. name the SSRI's
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dolgic (Acetamenaphen + butabital)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Zanaflex (tizanidine)

2. What is a severe side effect of metformin
Gemofibrozil Fenofibrate Clofibrate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

3. What are the 3rd generation heterocyclic Anti depressants
Vistaril (hydroxyzine)
Cholestyramine Colestipol Colesevalam
1. 12-15 months 2. 4-6 years
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

4. What are the effects of the bile acid sequestrants
Tessalon (benzonate)
Trazodone (Desyrel) Buproprion (Wellbutrin)
1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

5. What is the duration of short acting benzo's
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
2-8 hours
Statins (18-55% reduction)

6. What can be used to treat against C-difference in addition to parasites and other bacteria.
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Flagyl (Metronidazole)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Neurontin (gabapentin) Lyrica (Pregabalin)

7. When should the varicella virus vaccine be administered
Dannitol (Phenobarbital +Atropine)
Temazepam (Reston) Lorazepam (Ativan)
1. 12-15 months 2. 4-6 years
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

8. What are the ages for the pneumococcal vaccine
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
1.5
Tricyclics

9. Name the macrolides
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Erythromycin Clarithromycin Azithromycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

10. Problems with welchol and diabetes
Dolgic (Acetamenaphen + butabital)
Vistaril (hydroxyzine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

11. Name the fibric acids
Suboxone (Buprenorphine)
Dannitol (Phenobarbital +Atropine)
Gemofibrozil Fenofibrate Clofibrate
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

12. What drug is used to tx narcolepsy
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
2-8 hours
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Provigil (modafinil)

13. What are the ages for the inactivated poliovirus
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

14. What are anticoagulation treatment options
Vyvanse (lisdexamphetamine)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

15. What is the max creatinine clearance level for metformin
2 months 4 months
1. 2 months 2. 4 months 3. 12-15 months
1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

16. What needs to be considered when treating a patient long term with lasics
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

17. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Erythromycin Clarithromycin Azithromycin
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Pregabalin
Debrox (carbamide peroxide)

18. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)
Block serotonin and Nor epinephrine
Statins (18-55% reduction)

19. What can be used to prevent coagulation
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
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. Birth 2. 1-2 months 3. 6-18 months
Vistaril (hydroxyzine)

20. What can be used for cough suppression
Tessalon (benzonate)
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
Debrox (carbamide peroxide)

21. What is Pradaxa
1. 12-24 months 2. 6-18 months after initial dose
Neurontin (gabapentin) Lyrica (Pregabalin)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

22. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Nomanda (memantine) Exelon (Rivastigmine)
1. 12-15 months 2. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

23. What are the first generation anti depressants
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Tricyclics
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

24. Name the aminoglycoside
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
SSRI's
1. DTaP 2. PCV
Tricyclics

25. What can be used to increase WBC counts
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)

26. IBS
Dannitol (Phenobarbital +Atropine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. DTaP 2. PCV
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

27. What ages the are the DTaP vaccine given
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Zofran (Ondansetron) Reglam (metoclopromide)

28. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Trazodone (Desyrel) Buproprion (Wellbutrin)
Provigil (modafinil)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

29. Name the tetracyclines
Flagyl (Metronidazole)
SSRI's
Tetracycline Doxycycline Demeclocycline Minocycline
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

30. Neuropathic Pain management
Statins (18-55% reduction)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
10-20 hours
Neurontin (gabapentin) Lyrica (Pregabalin)

31. Name the short acting benzodiazepines
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Pregabalin

32. What can be used to improve memory
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Nomanda (memantine) Exelon (Rivastigmine)
Flagyl (Metronidazole)
Vyvanse (lisdexamphetamine)

33. Pediatric Hepatitis vaccinations should be given when?
2 months 4 months
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Trazodone (Desyrel) Buproprion (Wellbutrin)

34. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
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

35. What is the first line treatment for depression

36. Name the statins
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Statins (18-55% reduction)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

37. What is the duration action of intermediate acting benzo's
Tricyclics
10-20 hours
1.5
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

38. How do you treat low magnesium and low potassium in the hospital setting
Provigil (modafinil)
Tetracycline Doxycycline Demeclocycline Minocycline
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Vyvanse (lisdexamphetamine)

39. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Debrox (carbamide peroxide)
1. Birth 2. 1-2 months 3. 6-18 months
STOP THE METFORMIN
Statins (18-55% reduction)

40. What are the effects of fibric acids
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Provigil (modafinil)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

41. What's the difference between CMP and BMP
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Suboxone (Buprenorphine)

42. What are the ages that the measles mumps and rubella vaccine administered
1. 12-15 months 2. 4-6 years
Flagyl (Metronidazole)
10-20 hours
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

43. What are the 6 month pediatric vaccines
Statins (18-55% reduction)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. DTaP 2. PCV

44. What can be used to treat ADHD
Pregabalin
Vyvanse (lisdexamphetamine)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. 12-15 months 2. 4-6 years

45. Name the bile acid sequestrants
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Debrox (carbamide peroxide)
Cholestyramine Colestipol Colesevalam

46. What are some causes of pitting edema
Gemofibrozil Fenofibrate Clofibrate
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Dolgic (Acetamenaphen + butabital)
Flecanide. Not to be used with LV insufficiency

47. What is used to clean ears
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Neurontin (gabapentin) Lyrica (Pregabalin)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Debrox (carbamide peroxide)

48. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
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

49. Name the long acting benzodiazepines
SSRI's
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
STOP THE METFORMIN

50. What is the effect of the statins
Temazepam (Reston) Lorazepam (Ativan)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)