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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 short acting benzodiazepines
SSRI's
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

2. name the SSRI's
Vyvanse (lisdexamphetamine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Nomanda (memantine) Exelon (Rivastigmine)

3. 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. 12-15 months
2-8 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function

4. What are the ages for the inactivated poliovirus
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Cholestyramine Colestipol Colesevalam

5. What is the duration of short acting benzo's
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vyvanse (lisdexamphetamine)
2-8 hours

6. What is a severe side effect of metformin
Flagyl (Metronidazole)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

7. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
2-8 hours
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

8. What is used to clean ears
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Zanaflex (tizanidine)
Debrox (carbamide peroxide)

9. What are the 2 month pediatric vaccines
1. DTaP 2. PCV
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Erythromycin Clarithromycin Azithromycin

10. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
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
Dannitol (Phenobarbital +Atropine)
Provigil (modafinil)

11. What is the first line treatment for depression

12. Name the intermediate acting benzodiazepines
Dannitol (Phenobarbital +Atropine)
Neurogen (Filgastim)
Temazepam (Reston) Lorazepam (Ativan)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

13. What class of drugs will lower LDL the most
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Statins (18-55% reduction)
Erythromycin Clarithromycin Azithromycin

14. What are the effects of the bile acid sequestrants
1. 2 months 2. 4 months 3. 12-15 months
1. 12-15 months 2. 4-6 years
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

15. What are the ages for the Hib vaccine
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
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
Zofran (Ondansetron) Reglam (metoclopromide)

16. What are the 4 month pediatric vaccines
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Vistaril (hydroxyzine)
Suboxone (Buprenorphine)
1. 2 months 2. 4 months 3. 12-15 months

17. What's the difference between CMP and BMP
10-20 hours
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Suboxone (Buprenorphine)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose

18. What can be used for BPH
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
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
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Proscar (finasteride)

19. What ages are the Rotavirus vaccine given
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
2 months 4 months
Vyvanse (lisdexamphetamine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes

20. What drug can be used for cardioversion with structural heart disease
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 12-15 months
Nomanda (memantine) Exelon (Rivastigmine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval

21. Withdrawal symptoms
Zofran (Ondansetron) Reglam (metoclopromide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Vistaril (hydroxyzine)

22. Erythematous Nodosum
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Dolgic (Acetamenaphen + butabital)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

23. What can be used for cough suppression
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Debrox (carbamide peroxide)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Tessalon (benzonate)

24. What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1.5
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
Nomanda (memantine) Exelon (Rivastigmine)

25. Name the aminoglycoside
1. 12-15 months 2. 4-6 years
1. DTaP 2. PCV
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
STOP THE METFORMIN

26. IBS
Neurontin (gabapentin) Lyrica (Pregabalin)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
STOP THE METFORMIN
Dannitol (Phenobarbital +Atropine)

27. What are the 3rd generation heterocyclic Anti depressants
Neurontin (gabapentin) Lyrica (Pregabalin)
Tessalon (benzonate)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Cholestyramine Colestipol Colesevalam

28. Name the fibric acids
Gemofibrozil Fenofibrate Clofibrate
Tricyclics
1. Birth 2. 1-2 months 3. 6-18 months
Cholestyramine Colestipol Colesevalam

29. What is Pradaxa
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

30. Neuropathic Pain management
Neurontin (gabapentin) Lyrica (Pregabalin)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

31. What is the effect of the statins
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1.5
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. What can be used to relax muscles associated with tension head aches
Tessalon (benzonate)
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Cholestyramine Colestipol Colesevalam
Dolgic (Acetamenaphen + butabital)

33. What are the effects of fibric acids
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Block serotonin and Nor epinephrine
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. What can be used for nausea
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin

35. What is the max creatinine clearance level for metformin
2 months 4 months
1.5
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

36. What can be used to increase WBC counts
Neurogen (Filgastim)
2-8 hours
Trazodone (Desyrel) Buproprion (Wellbutrin)
Suboxone (Buprenorphine)

37. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Dolgic (Acetamenaphen + butabital)
Flagyl (Metronidazole)
Pregabalin

38. Drug addiction and withdrawal
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Suboxone (Buprenorphine)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
2-8 hours

39. If a patient is on metformin and about to undergo contrast imaging - what must be done.
Zanaflex (tizanidine)
Tricyclics
STOP THE METFORMIN
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

40. What needs to be considered when treating a patient long term with lasics
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Debrox (carbamide peroxide)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

41. What is an FDA approved prescription weight loss drug
Trazodone (Desyrel) Buproprion (Wellbutrin)
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Pregabalin
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

42. Name the statins
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. DTaP 2. PCV
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

43. name a central acting muscle relaxant
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Zanaflex (tizanidine)
1. 12-15 months 2. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

44. What are the 2nd generation heterocyclic Anti depressants
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pregabalin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Neurontin (gabapentin) Lyrica (Pregabalin)

45. What is the benefit of Welchol
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Tetracycline Doxycycline Demeclocycline Minocycline
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

46. What is the duration action of intermediate acting benzo's
10-20 hours
Dannitol (Phenobarbital +Atropine)
Erythromycin Clarithromycin Azithromycin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5

47. Problems with welchol and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
Vistaril (hydroxyzine)
Flecanide. Not to be used with LV insufficiency

48. Treatment for pre-diabetes
Statins (18-55% reduction)
Tricyclics
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Vyvanse (lisdexamphetamine)

49. How do you treat low magnesium and low potassium in the hospital setting
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Provigil (modafinil)
SSRI's
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

50. What are the ages for the pneumococcal vaccine
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Zanaflex (tizanidine)
Ibutilide (IV Only). It prolongs repolarization and the QT interval