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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 can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Gemofibrozil Fenofibrate Clofibrate
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

2. Name the bile acid sequestrants
2-8 hours
Tricyclics
Cholestyramine Colestipol Colesevalam
Nomanda (memantine) Exelon (Rivastigmine)

3. Name the macrolides
1. 12-24 months 2. 6-18 months after initial dose
Erythromycin Clarithromycin Azithromycin
Neurogen (Filgastim)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

4. Name the intermediate acting benzodiazepines
Erythromycin Clarithromycin Azithromycin
Suboxone (Buprenorphine)
Temazepam (Reston) Lorazepam (Ativan)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

5. What can be used to prevent coagulation
Tricyclics
Flecanide. Not to be used with LV insufficiency
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

6. What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Suboxone (Buprenorphine)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

7. Withdrawal symptoms
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Temazepam (Reston) Lorazepam (Ativan)
Vistaril (hydroxyzine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

8. What is the duration action of intermediate acting benzo's
Proscar (finasteride)
Statins (18-55% reduction)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
10-20 hours

9. What is the benefit of Welchol
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

10. What drug is used to tx narcolepsy
Trazodone (Desyrel) Buproprion (Wellbutrin)
Provigil (modafinil)
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
Vistaril (hydroxyzine)

11. Neuropathic Pain management
SSRI's
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Neurontin (gabapentin) Lyrica (Pregabalin)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

12. Name the short acting benzodiazepines
Dolgic (Acetamenaphen + butabital)
Temazepam (Reston) Lorazepam (Ativan)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

13. What is the max creatinine clearance level for metformin
1.5
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dannitol (Phenobarbital +Atropine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

14. What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel) Buproprion (Wellbutrin)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
10-20 hours
Temazepam (Reston) Lorazepam (Ativan)

15. What are some options for pain control
10-20 hours
Flagyl (Metronidazole)
Erythromycin Clarithromycin Azithromycin
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

16. What are the ages for the pneumococcal vaccine
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Dolgic (Acetamenaphen + butabital)

17. What can be used to increase WBC counts
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Dannitol (Phenobarbital +Atropine)
Neurogen (Filgastim)

18. What is a severe side effect of metformin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Cholestyramine Colestipol Colesevalam
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
SSRI's

19. What is an FDA approved prescription weight loss drug
Flecanide. Not to be used with LV insufficiency
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

20. What can be used to treat ADHD
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Vyvanse (lisdexamphetamine)
Statins (18-55% reduction)

21. What can be used to relax muscles associated with tension head aches
1. 12-15 months 2. 4-6 years
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)

22. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Pregabalin
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Dannitol (Phenobarbital +Atropine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

23. What ages are the Rotavirus vaccine given
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
2 months 4 months
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Proscar (finasteride)

24. Pediatric Hepatitis vaccinations should be given when?
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. 12-15 months 2. 4-6 years

25. What can be used for cough suppression
Tessalon (benzonate)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Dolgic (Acetamenaphen + butabital)

26. name a central acting muscle relaxant
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Vistaril (hydroxyzine)
Pregabalin
Zanaflex (tizanidine)

27. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
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
STOP THE METFORMIN

28. What are the 6 month pediatric vaccines
STOP THE METFORMIN
1. DTaP 2. PCV
Vyvanse (lisdexamphetamine)
1.5

29. What are the ages for the Hib vaccine
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Flagyl (Metronidazole)
1. 2 months 2. 4 months 3. 12-15 months

30. What are anticoagulation treatment options
Debrox (carbamide peroxide)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Suboxone (Buprenorphine)

31. What drug can be used to cardiovert AF of short duration
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Flecanide. Not to be used with LV insufficiency
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

32. Drug addiction and withdrawal
Cholestyramine Colestipol Colesevalam
1.5
1. 12-15 months 2. 4-6 years
Suboxone (Buprenorphine)

33. What are the ages that the measles mumps and rubella vaccine administered
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Neurontin (gabapentin) Lyrica (Pregabalin)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. 12-15 months 2. 4-6 years

34. IBS
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Dannitol (Phenobarbital +Atropine)
2 months 4 months

35. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

36. What needs to be considered when treating a patient long term with lasics
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Zofran (Ondansetron) Reglam (metoclopromide)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

37. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
Gemofibrozil Fenofibrate Clofibrate
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

38. Treatment for pre-diabetes
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Pregabalin
Zofran (Ondansetron) Reglam (metoclopromide)

39. What ages the are the DTaP vaccine given
Suboxone (Buprenorphine)
2-8 hours
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

40. Problems with welchol and diabetes
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 12-15 months 2. 4-6 years
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

41. What class of drugs will lower LDL the most
Statins (18-55% reduction)
Trazodone (Desyrel) Buproprion (Wellbutrin)
Pregabalin
Dannitol (Phenobarbital +Atropine)

42. What are the effects of the bile acid sequestrants
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Dolgic (Acetamenaphen + butabital)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

43. What ages are the Hep B vaccine given
Tetracycline Doxycycline Demeclocycline Minocycline
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
1. Birth 2. 1-2 months 3. 6-18 months

44. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
STOP THE METFORMIN
Vyvanse (lisdexamphetamine)

45. Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2 months 4 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

46. name the SSRI's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. 12-24 months 2. 6-18 months after initial dose
Flecanide. Not to be used with LV insufficiency

47. What is the duration of short acting benzo's
Erythromycin Clarithromycin Azithromycin
Vyvanse (lisdexamphetamine)
1. DTaP 2. PCV
2-8 hours

48. What's the difference between CMP and BMP
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Debrox (carbamide peroxide)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

49. What is Pradaxa
Provigil (modafinil)
Tessalon (benzonate)
Erythromycin Clarithromycin Azithromycin
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

50. When should the varicella virus vaccine be administered
1. 12-15 months 2. 4-6 years
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Vistaril (hydroxyzine)