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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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 aminoglycoside
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Gemofibrozil Fenofibrate Clofibrate
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
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

2. Name the tetracyclines
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
1. 12-15 months 2. 4-6 years
Tetracycline Doxycycline Demeclocycline Minocycline
Erythromycin Clarithromycin Azithromycin

3. How do you treat low magnesium and low potassium in the hospital setting
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses

4. What are some causes of pitting edema
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

5. What ages are the Hep B vaccine given
Pregabalin
Flagyl (Metronidazole)
1. Birth 2. 1-2 months 3. 6-18 months
1. 2 months 2. 4 months 3. 12-15 months

6. Pediatric Hepatitis vaccinations should be given when?
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
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

7. What drug is used to tx narcolepsy
Provigil (modafinil)
Neurontin (gabapentin) Lyrica (Pregabalin)
Zanaflex (tizanidine)
Flagyl (Metronidazole)

8. What drug can be used to cardiovert AF of short duration
Flecanide. Not to be used with LV insufficiency
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Ibutilide (IV Only). It prolongs repolarization and the QT interval
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

9. Name the macrolides
Dolgic (Acetamenaphen + butabital)
Zofran (Ondansetron) Reglam (metoclopromide)
Erythromycin Clarithromycin Azithromycin
Gemofibrozil Fenofibrate Clofibrate

10. Name the short acting benzodiazepines
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
STOP THE METFORMIN
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)

11. What are the ages for the inactivated poliovirus
1. 12-15 months 2. 4-6 years
Provigil (modafinil)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
A CMP is a BMP (kidney - electrolytes) PLUS liver function

12. What can be used to treat against C-difference in addition to parasites and other bacteria.
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Flecanide. Not to be used with LV insufficiency
Flagyl (Metronidazole)
Trazodone (Desyrel) Buproprion (Wellbutrin)

13. What are the 4 month pediatric vaccines
Tessalon (benzonate)
Zanaflex (tizanidine)
Gemofibrozil Fenofibrate Clofibrate
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

14. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
1.5
Proscar (finasteride)
Statins (18-55% reduction)

15. What is an FDA approved prescription weight loss drug
LDL (reduced 15-30%) HDL (reduced 3-5%) TG (no change or increased)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Tricyclics
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

16. When should the varicella virus vaccine be administered
SSRI's
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. 12-15 months 2. 4-6 years
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

17. IBS
1. 12-24 months 2. 6-18 months after initial dose
Dannitol (Phenobarbital +Atropine)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Block serotonin and Nor epinephrine

18. What are the first generation anti depressants
Tricyclics
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Cholestyramine Colestipol Colesevalam
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

19. Name the bile acid sequestrants
2-8 hours
Cholestyramine Colestipol Colesevalam
Zanaflex (tizanidine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

20. High blood pressure
1. 12-24 months 2. 6-18 months after initial dose
1. Birth 2. 1-2 months 3. 6-18 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
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

21. Drug addiction and withdrawal
Suboxone (Buprenorphine)
10-20 hours
Erythromycin Clarithromycin Azithromycin
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

22. What can be used to relax muscles associated with tension head aches
Statins (18-55% reduction)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Dolgic (Acetamenaphen + butabital)
Debrox (carbamide peroxide)

23. What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
Tessalon (benzonate)
Pregabalin
Debrox (carbamide peroxide)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

24. What drug can be used for cardioversion with structural heart disease
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)
Neurogen (Filgastim)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Ibutilide (IV Only). It prolongs repolarization and the QT interval

25. What is the benefit of Welchol
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dannitol (Phenobarbital +Atropine)

26. name a central acting muscle relaxant
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
1. 12-15 months 2. 4-6 years
Zanaflex (tizanidine)
Tricyclics

27. What needs to be considered when treating a patient long term with lasics
Cholestyramine Colestipol Colesevalam
Tetracycline Doxycycline Demeclocycline Minocycline
Suboxone (Buprenorphine)
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

28. What's the difference between CMP and BMP
2-8 hours
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
A CMP is a BMP (kidney - electrolytes) PLUS liver function

29. What can be used for cough suppression
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Tricyclics
Tessalon (benzonate)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)

30. What is a severe side effect of metformin
Rhabdomyolysis which can lead to Renal failure with Creatinine clearance greater than 1.5
STOP THE METFORMIN
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 12-15 months

31. Erythematous Nodosum
1. Birth 2. 1-2 months 3. 6-18 months
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
Debrox (carbamide peroxide)

32. What are the 2nd generation heterocyclic Anti depressants
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Trazodone (Desyrel) Buproprion (Wellbutrin)
Gemofibrozil Fenofibrate Clofibrate
1. Birth 2. 1-2 months 3. 6-18 months

33. What is the max creatinine clearance level for metformin
SSRI's
1. 12-15 months 2. 4-6 years
Block serotonin and Nor epinephrine
1.5

34. What can be used to increase WBC counts
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Neurogen (Filgastim)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)

35. Name the fibric acids
Debrox (carbamide peroxide)
Pregabalin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
Gemofibrozil Fenofibrate Clofibrate

36. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
10-20 hours
Block serotonin and Nor epinephrine
Tessalon (benzonate)

37. When should the HEP A vaccine be administered
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
2 months 4 months
1. 12-24 months 2. 6-18 months after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)

38. What are the ages for the pneumococcal vaccine
Statins (18-55% reduction)
2 months 4 months
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

39. What are the 3rd generation heterocyclic Anti depressants
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
Neurogen (Filgastim)
Flagyl (Metronidazole)

40. Name the intermediate acting benzodiazepines
Temazepam (Reston) Lorazepam (Ativan)
Provigil (modafinil)
Vyvanse (lisdexamphetamine)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)

41. What class of drugs will lower LDL the most
Statins (18-55% reduction)
2-8 hours
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
Zanaflex (tizanidine)

42. What ages are the Rotavirus vaccine given
2 months 4 months
Tetracycline Doxycycline Demeclocycline Minocycline
Statins (18-55% reduction)
Provigil (modafinil)

43. What can be used for nausea
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Flagyl (Metronidazole)
Zofran (Ondansetron) Reglam (metoclopromide)

44. What are some options for pain control
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Statins (18-55% reduction)
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. 12-15 months 2. 4-6 years

45. What are the 2 month pediatric vaccines
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 12-24 months 2. 6-18 months after initial dose
Zofran (Ondansetron) Reglam (metoclopromide)

46. What can be used to prevent coagulation
Tetracycline Doxycycline Demeclocycline Minocycline
Dolgic (Acetamenaphen + butabital)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

47. Neuropathic Pain management
1. 2 months 2. 4 months 3. 12-15 months
1. Birth 2. 1-2 months 3. 6-18 months
Neurontin (gabapentin) Lyrica (Pregabalin)
1.5

48. What is Pradaxa
Vistaril (hydroxyzine)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Block serotonin and Nor epinephrine
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

49. Treatment for pre-diabetes
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide
Neurogen (Filgastim)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

50. What can be used to improve memory
Nomanda (memantine) Exelon (Rivastigmine)
Tessalon (benzonate)
Flagyl (Metronidazole)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.