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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 class of drugs will lower LDL the most
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Statins (18-55% reduction)
Flagyl (Metronidazole)
Suboxone (Buprenorphine)

2. What is the max creatinine clearance level for metformin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dolgic (Acetamenaphen + butabital)
Flagyl (Metronidazole)
1.5

3. Name the bile acid sequestrants
1. DTaP 2. PCV
Debrox (carbamide peroxide)
Tricyclics
Cholestyramine Colestipol Colesevalam

4. What is the duration of short acting benzo's
2-8 hours
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

5. What are the 4 month pediatric vaccines
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years

6. What is Pradaxa
Neurogen (Filgastim)
Dabigatran: A direct thrombin inhibitor used to anti-coagulate
Zofran (Ondansetron) Reglam (metoclopromide)
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)

7. What can be used to treat ADHD
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
Vyvanse (lisdexamphetamine)
Cholestyramine Colestipol Colesevalam
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years

8. What can be used to prevent coagulation
Trazodone (Desyrel) Buproprion (Wellbutrin)
Zofran (Ondansetron) Reglam (metoclopromide)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin

9. What can be used to improve memory
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics
1. Birth 2. 1-2 months 3. 6-18 months
Zofran (Ondansetron) Reglam (metoclopromide)
Nomanda (memantine) Exelon (Rivastigmine)

10. What are some causes of pitting edema
Proscar (finasteride)
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
1. DTaP 2. PCV
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

11. What needs to be considered when treating a patient long term with lasics
Dannitol (Phenobarbital +Atropine)
Neurontin (gabapentin) Lyrica (Pregabalin)
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Electrolyte level. Consider using 10 mg of oral potassium for every 20 mg of lasics

12. What is an FDA approved prescription weight loss drug
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

13. Drug addiction and withdrawal
Suboxone (Buprenorphine)
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Venlafaxine (Effexor) Nefazodone (Serzone) Mirtazopine (Remeron) Vilazodone (Viibryd)
A delayed Hypersensitivity reaction to antigens producing nodules that are typically located in the pretibial region.

14. What can be used to relax muscles associated with tension head aches
Erythromycin Clarithromycin Azithromycin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Suboxone (Buprenorphine)
Dolgic (Acetamenaphen + butabital)

15. What are the effects of fibric acids
1. DTaP 2. PCV
1. 12-24 months 2. 6-18 months after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)

16. Name the long acting benzodiazepines
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Vistaril (hydroxyzine)
2 grams magnessium sulfate over 4 hours and 20 mEq q4hrs X 4 doses
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

17. If a patient is on metformin and about to undergo contrast imaging - what must be done.
1. DTaP 2. PCV
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
STOP THE METFORMIN

18. Problems with welchol and diabetes
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM

19. What are the ages for the inactivated poliovirus
Vistaril (hydroxyzine)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
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. 12-15 months

20. What is the benefit of Welchol
Cholestyramine Colestipol Colesevalam
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Provigil (modafinil)
Dannitol (Phenobarbital +Atropine)

21. Pediatric Hepatitis vaccinations should be given when?
Pregabalin
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
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

22. What are anticoagulation treatment options
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Suboxone (Buprenorphine)
1. Not to be taken with glyburide 2. Can improve glycemic control in NIDDM
SSRI's

23. What are the 3rd generation heterocyclic Anti depressants
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
Zofran (Ondansetron) Reglam (metoclopromide)
Amikacin Netilmicin Neomycin Tobramycin Gentamycin

24. What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Erythromycin Clarithromycin Azithromycin
Block serotonin and Nor epinephrine
Trazodone (Desyrel) Buproprion (Wellbutrin)
1. 2 months 2. 4 months 3. 12-15 months

25. What are the effects of nicotinic acid
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
Flagyl (Metronidazole)
STOP THE METFORMIN
Temazepam (Reston) Lorazepam (Ativan)

26. What's the difference between CMP and BMP
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
Pregabalin
A CMP is a BMP (kidney - electrolytes) PLUS liver function
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

27. What drug can be used to cardiovert AF of short duration
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Flecanide. Not to be used with LV insufficiency
Nomanda (memantine) Exelon (Rivastigmine)
10-20 hours

28. Neuropathic Pain management
1.5
Dannitol (Phenobarbital +Atropine)
Neurontin (gabapentin) Lyrica (Pregabalin)
10-20 hours

29. When should the HEP A vaccine be administered
1. 12-24 months 2. 6-18 months after initial dose
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Pradaxa (Dabigatran) Plavax (Clopidogrel) Warfrin (Coumadin) Heparin Enoxaparin
Gemofibrozil Fenofibrate Clofibrate

30. What are the 2nd generation heterocyclic Anti depressants
A CMP is a BMP (kidney - electrolytes) PLUS liver function
LDL (reduced 5-25%) HDL (reduced 15-35%) TG (reduced 20-50%)
1. Birth 2. 1-2 months 3. 6-18 months
Trazodone (Desyrel) Buproprion (Wellbutrin)

31. Treatment for pre-diabetes
Dannitol (Phenobarbital +Atropine)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)
Suboxone (Buprenorphine)
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide

32. What is the effect of the statins
1. Birth 2. 1-2 Months 3. Not before 24 Weeks and not after 16 weeks after initial dose
Dannitol (Phenobarbital +Atropine)
Dolgic (Acetamenaphen + butabital)
LDL (reduced 18-55%) HDL (reduced 5-15%) TG (Reduced 7-30%)

33. Name the statins
1. 12-24 months 2. 6-18 months after initial dose
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin

34. What is used to clean ears
Debrox (carbamide peroxide)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

35. What are the ages that the measles mumps and rubella vaccine administered
1. Birth 2. 1-2 months 3. 6-18 months
1. 12-15 months 2. 4-6 years
Tessalon (benzonate)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

36. Name the intermediate acting benzodiazepines
2-8 hours
Temazepam (Reston) Lorazepam (Ativan)
Erythromycin Clarithromycin Azithromycin
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

37. What ages are the Rotavirus vaccine given
1. 12-24 months 2. 6-18 months after initial dose
Tetracycline Doxycycline Demeclocycline Minocycline
Proscar (finasteride)
2 months 4 months

38. What is the first line treatment for depression

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39. What is the duration action of intermediate acting benzo's
Temazepam (Reston) Lorazepam (Ativan)
10-20 hours
Dolgic (Acetamenaphen + butabital)
Vyvanse (lisdexamphetamine)

40. Name the short acting benzodiazepines
Triazolam (Halcion) Oxazepam (serax) Midazolam (Versed) Alprozolam (xanax)
Provigil (modafinil)
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Zanaflex (tizanidine)

41. What can be used for nausea
Zofran (Ondansetron) Reglam (metoclopromide)
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Temazepam (Reston) Lorazepam (Ativan)
Bellviq (locaserine hydrocholoride) Qsymia (Phentermine + topiramate)

42. Name the macrolides
Amikacin Netilmicin Neomycin Tobramycin Gentamycin
Erythromycin Clarithromycin Azithromycin
Statins (18-55% reduction)
Vyvanse (lisdexamphetamine)

43. What are some options for pain control
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
1. RV 2. DTaP 3. Hib 4. PCV 5. IP

44. Withdrawal symptoms
Vistaril (hydroxyzine)
STOP THE METFORMIN
1. 2 months 2. 4 months 3. 6 months 4. 15-18 months 5. 4-6 years
Neurogen (Filgastim)

45. What can be used for cough suppression
Tessalon (benzonate)
Tetracycline Doxycycline Demeclocycline Minocycline
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dabigatran: A direct thrombin inhibitor used to anti-coagulate

46. What drug is used to tx narcolepsy
Provigil (modafinil)
Block serotonin and Nor epinephrine
Ibutilide (IV Only). It prolongs repolarization and the QT interval
Venous insufficiency/ stasis. Poor Kidney function. Right Heart Failure Pulmonary HTN

47. What can be used for BPH
A CMP is a BMP (kidney - electrolytes) PLUS liver function
Proscar (finasteride)
1. 12-15 months 2. 4-6 years
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane) clonazepam (Klonipin)

48. What are the first generation anti depressants
Erythromycin Clarithromycin Azithromycin
Tricyclics
1. RV 2. DTaP 3. Hib 4. PCV 5. IP
Dannitol (Phenobarbital +Atropine)

49. What are the ages for the pneumococcal vaccine
Erythromycin Clarithromycin Azithromycin
Coumadin Pradaxa (dabigatran) Rivaroxaban Apixaban
Proscar (finasteride)
1. 2 months 2. 4 months 3. 6 months 4. 12-15 months

50. What are the ages for the Hib vaccine
1. 2 months 2. 4 months 3. 12-15 months
LDL (reduced 5-20%) HDL (reduce 10-20%) TG (Reduced 20-50%)
1. 2 months 2. 4 months 3. 6-18 months 4. 4-6 years
1. Diet and exercise 2. Metformin 3. Janumet 4. Glyburide