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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 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. Birth 2. 1-2 months 3. 6-18 months
Neurogen (Filgastim)

2. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Tessalon (benzonate)
Proscar (finasteride)
1. Birth 2. 1-2 months 3. 6-18 months

3. What drug can be used for cardioversion with structural heart disease
Dolgic (Acetamenaphen + butabital)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 months 4 months
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

4. What are the effects of nicotinic acid
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

5. What are the ages for the pneumococcal vaccine
Zofran (Ondansetron) Reglam (metoclopromide)
1. 12-24 months 2. 6-18 months after initial dose
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

6. What can be used to treat ADHD
Vyvanse (lisdexamphetamine)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)

7. What are some causes of pitting edema
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Ibutilide (IV Only). It prolongs repolarization and the QT interval
2 months 4 months

8. What drug can be used to cardiovert AF of short duration
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Flecanide. Not to be used with LV insufficiency
1. DTaP 2. PCV

9. What are the 6 month pediatric vaccines
Flecanide. Not to be used with LV insufficiency
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

10. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

11. IBS
1.5
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dannitol (Phenobarbital +Atropine)
Proscar (finasteride)

12. Pediatric Hepatitis vaccinations should be given when?
Pregabalin
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
Vyvanse (lisdexamphetamine)

13. What is the duration of short acting benzo's
1. 12-24 months 2. 6-18 months after initial dose
2-8 hours
Debrox (carbamide peroxide)
Proscar (finasteride)

14. When should the HEP A vaccine be administered
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-24 months 2. 6-18 months after initial dose
2 months 4 months
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

15. Treatment for pre-diabetes
Temazepam (Reston) Lorazepam (Ativan)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Ibutilide (IV Only). It prolongs repolarization and the QT interval
10-20 hours

16. What needs to be considered when treating a patient long term with lasics
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1.5
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

17. How do you treat low magnesium and low potassium in the hospital setting
Neurontin (gabapentin) Lyrica (Pregabalin)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Suboxone (Buprenorphine)
Zofran (Ondansetron) Reglam (metoclopromide)

18. What drug is used to tx narcolepsy
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
STOP THE METFORMIN
Cholestyramine Colestipol Colesevalam
Provigil (modafinil)

19. What is the first line treatment for depression

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20. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 12-24 months 2. 6-18 months after initial dose
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

21. What can be used for nausea
1.5
Neurontin (gabapentin) Lyrica (Pregabalin)
Zofran (Ondansetron) Reglam (metoclopromide)
Proscar (finasteride)

22. What can be used to prevent coagulation
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Trazodone (Desyrel) Buproprion (Wellbutrin)

23. What can be used to treat against C-difference in addition to parasites and other bacteria.
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Tessalon (benzonate)
Flagyl (Metronidazole)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

24. What is used to clean ears
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Dannitol (Phenobarbital +Atropine)
Debrox (carbamide peroxide)
Vyvanse (lisdexamphetamine)

25. Name the macrolides
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 12-15 months 2. 4-6 years
Erythromycin Clarithromycin Azithromycin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

26. Name the tetracyclines
Tetracycline Doxycycline Demeclocycline Minocycline
2-8 hours
Proscar (finasteride)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

27. What ages are the Rotavirus vaccine given
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Dannitol (Phenobarbital +Atropine)
2 months 4 months
Zofran (Ondansetron) Reglam (metoclopromide)

28. What are the effects of the bile acid sequestrants
1.5
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Cholestyramine Colestipol Colesevalam
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

29. What is the duration action of intermediate acting benzo's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
2-8 hours
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
10-20 hours

30. Neuropathic Pain management
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

31. Drug addiction and withdrawal
STOP THE METFORMIN
1. DTaP 2. PCV
Suboxone (Buprenorphine)
1. 12-15 months 2. 4-6 years

32. What are some options for pain control
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
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

33. name the SSRI's
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Pregabalin
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

34. When should the varicella virus vaccine be administered
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tricyclics
1. 12-15 months 2. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

35. What class of drugs will lower LDL the most
Temazepam (Reston) Lorazepam (Ativan)
Statins (18-55% reduction)
1. 12-15 months 2. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

36. High blood pressure
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
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
Tricyclics
Tetracycline Doxycycline Demeclocycline Minocycline

37. What ages the are the DTaP vaccine given
SSRI's
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

38. What is a severe side effect of metformin
Statins (18-55% reduction)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Flecanide. Not to be used with LV insufficiency

39. What ages are the Hep B vaccine given
Neurontin (gabapentin) Lyrica (Pregabalin)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
SSRI's
1. Birth 2. 1-2 months 3. 6-18 months

40. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Proscar (finasteride)
Pregabalin
Flagyl (Metronidazole)
1. 12-15 months 2. 4-6 years

41. Name the intermediate acting benzodiazepines
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Temazepam (Reston) Lorazepam (Ativan)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

42. What are anticoagulation treatment options
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1. 2 months 2. 4 months 3. 12-15 months
Flagyl (Metronidazole)

43. name a central acting muscle relaxant
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)
Vistaril (hydroxyzine)
Zanaflex (tizanidine)

44. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Neurogen (Filgastim)
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
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)

45. What can be used to relax muscles associated with tension head aches
Zofran (Ondansetron) Reglam (metoclopromide)
Vistaril (hydroxyzine)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)

46. What are the effects of fibric acids
Nomanda (memantine) Exelon (Rivastigmine)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Zofran (Ondansetron) Reglam (metoclopromide)
STOP THE METFORMIN

47. What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Neurontin (gabapentin) Lyrica (Pregabalin)

48. Name the bile acid sequestrants
Nomanda (memantine) Exelon (Rivastigmine)
Cholestyramine Colestipol Colesevalam
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban

49. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
STOP THE METFORMIN
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
A CMP is a BMP (kidney - electrolytes) PLUS liver function

50. What are the first generation anti depressants
Ibutilide (IV Only). It prolongs repolarization and the QT interval
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years